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Home My WebLink AboutBLDE-21-006217 #2 Commonwealth of Official Use Only Permit No. BLDE-21-006217 E_ Massachusetts AA BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:4/27/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 583B FOREST RD UNIT 2 Owner or Tenant KREATIVE BARNS (UNIT B) Telephone No. Owner's Address 583E FOREST RD UNIT 2, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Pk, Box) Purpose of Building Utility Authorization No Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 o. t r ,, I - Number of Feeders and Ampacity q Location and Nature of Proposed Electrical Work: Upgrade lighting. (KREATIVE BARNS) 474 If Completion of the following table may ed b f's or of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of i tal Transformers i 23 KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of tevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Paul M Morris Licensee: Paul M Morris Signature LIC.NO.: 17520 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 213,1 COUNTRY WAY,SAGAMORE MA 025610213 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement. I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 tABiataaa/B.jtA al l t/RIIRch esol'(6 Official Use Ordy asr.�ua r - 'a >- Et cc e�'77 PermitNo. �2 `c 7— r7 =cli�x d 2epartrnerd o/Jire�eruicee Occupancy and Fee Checked ' ,11 .0 BOARD OF FIRE PREVENTION REGULATIONS (Rev.1/07] (leave blank) •PPUUCAT0®N FOR PER IT TO PERFORM ELECTROCAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 77,1 C r)?/ City or Town of: Q./►1,bu� To the Inspector of Wires: By this application the undersigned notice ofhrs or her intention to perform the electrical work described below. Location(Street&Number) S e,l eA±- IL, Owner or Tenant 1 Pc(Q�1.-;\,e. K lA'0,As Telephone No.ID-0 1,5 O Owner's Address IONS-A n'I�ilie A I f k Sri l\(;}r � (. 3Q Is this permit in conjunction with a building permit? Yes ❑ No R (Check Appropriate Box) / Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e pifa 4°L' g qn@ ® e Co �sAN� • Completion of the.following table may be waived by Me Inspector of Wires. No.of Recessed Luminaires No.of CeiLStisp(Paddte)Faus No.of Total Transformers KVA No.of Luminaire Outlets No.of Rot Tubs Generators KVA No,bf Luminaires Swimming Pool Above ❑ In- No.of Emergency Lrghtmg P,rud. grad- Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Coud j 0D tal No.of Alerting Devices No.of Waste Disposers Heat Pump I!Number(Tons IKW„ o.ofSelf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW - Municipal (' Local❑Connection �Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water KW No.of No.of(Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.ifydromassage Bathtubs No.of Motors Total RP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail If desired,or as required by the Inspector of Wires. Estimated Value of Electrical Works (When re quired by municipal policy.) Work to Start IA r 1.>) Inspections Milo requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue sinless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The undersigned-certifies thatsuch coverage is in force,and has exhibited proof Of same to the permit issuing Office. CHECK ONE:INSURANCE X BOND 0 OTHER❑ (Specify:) I certify,ander the pains and penalties of perjury,that the information on this application is tarn and complete. FIRM -AlAME: In c/Ae-C4-e S.-; LIC.NO.: Licensee:r4(�f rho ,,-d' SignatureA. LIC.NO.:d B5 r-- (Ifapplicablr,yrater"excerpt"in the license numherline.) Bus.Tel.NO.: Address: K5'le A/3 S" - pi i k Pi yt 6 7 51! Alt.Tel.No.: _ °Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the(check one)❑owner ❑owner's agent Owner/Agent ----- Signature Telephone No. [PERMIT FEE:$ g o.ti