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Home My WebLink AboutBLDE-22-003677 -- „ Commonwealth of Official Use Only t; ,t Massachusetts Permit No. BLDE-22-003677 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:1/3/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 TELEVISION LN Owner or Tenant Great Island Ocean Club Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs to gate system after damage by vehicle. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers 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 Ton 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 Water No. No,of Devices or Eouivalent Heaters ' of No.of Ballasts Data Wiring: Signs 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: Charles R Barthelemy Licensee: Charles R Barthelemy Signature LIC.NO.: 21473 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 BRIDGE ST, BRIDGEWATER MA 023241905 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$260.00 .'.� ( 12-f'2>7 - ----- . .... .Depeuinuml of Jiro..5sruir44 er:n71' -ri '977 ..- Occupancy Fee Chec ec BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) , .... ...=- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be petformed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 , I (PLEASE PRINT IN IIVIC OR TYPE ALL INFORMATION) Date: IA- f 1 City or Town of: NktirrOLIWN To the Inspector of Wires: below. By this application the undersigned gives notice ofhis or her intention to perform the electrical work described vi. Location(Street&Numbetr) . . Owner or Tenant GcoLti k-TsbA oceri c...\,.AQ, Telephone No. 0ta:nFr Ocleo ,J Owner's Address Is this permit in conjunction with a building permit? Yes 0 No Eg (Cheek Appropriate Box) Purpose of Building Utility Authorization No. , (1-) Existing Service___-_. Amps I Volts Overhead 0 Undgrd 0 No.of Meters ____ ••-• New Service —_ Amps / Volts Overhead 1-_-_1 Undgrd 0No.of Meters _ ___ .:::.; Number of Feeders and Amp:lefty c...r- Location and Nature of Proposed Electrical Work: Unpile 0 Ici e/14 jiate afelitAnCe, reale ilVcde af etilAiLe •---1 VI Completion of thefollowing table oftv be waived by the!superior of Wires. No.of Total. 144 No.of Recessed Luminaires No.of Ca.-Snip.(Paddle)Fans Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA <It Above r-i In- in /No.of Emergency Lighting -,t7 No.of Luminaires Swimming Pool d. Li d. L-1 Bette Units ----------------No.of Receptaele73;730;27"---7,10 of 01--'Ts;wnm,-'-' ---------,----,I. RE ALARMS No.of Zones ...., No.of Detection and it No.of Switches No.of Gas Burners Initiating Devices Total Ili No.of Ranges No.of Ale cond. Tons No.of Alerting Devices Heat Pump[Number i::_font_.±Kiy____.'No.Orson:contained No.of Waste Disposers Totals:I — .F- 1 Detectionale:rthig Devices No.of Dishwashers Space/Area Heating KW r-i Munidpai r-L.J i Local Li Other Connection. No.of Dryers Heating Appliances Security S'isteens:* /7 ICW No.of Devices or Equivalent No.of Water Kw No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or i itivalent Telecommunications ' 1 1, • No.H3rdromassage Bathtubs No.of Motors Total HP No.Of Devices or Emily cut OTHER: Attach additiotud detail ifdesired or as required by the Inspector of Wires. Estimated Value of Work: 1,360 (When required by municipal policy.) Work to Start: 1/i 1 aoQa Inspections 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 1114 BOND 0 OTHER 0 (Specify:) I certify,under the ains an el penalties ofpetyary,that the information en this application is true and complete FIRM NAME: LIC.NO.:2 Licensee:b Signature — LIC..NO.: (Ifapplicale.enter" min"'nIt Bus.Tel.No.- A* If:ariii III I Address: ,7205- rt IC ' k. Te .: ikair11 k *Per IvIG.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt. L No Ve.% ftetLie,No. OWNER'S INSURANCE WAIVER: lain aware that the Licensee does not have the liability insurance coverage nomially required bylaw. By my signature below,I hereby waive this tetprirement. I am the(check one owner ownees t, Owner/Agent Signature Tel Na. PERMIT FEE:$ _ _ ______________ g4 Commonmoa&o`maaeaekueotte Official Use Only " ' •� 2epar c7 eni /..tars&voiced Permit No. Occupanc BOARD OF FIRE PREVENTION REGULATIONS [ ]y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 4 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I i-Co-2. City or Town of: W Y '4Q(mrxl--\-1. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 rt'-e,keV t`a t ex, LA.\ R Owner or Tenant GC ea.' s- I c cuh(, n t pr1 v, C - Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters (-I--` Number of Feeders and Ampacity 1 an a re f Proposed Elech3a1 Work: Wire,OOweC f;5 al- n frj E)(i Sl .19 ,..a. UUov j Completion of the followinktable may be waived by the Inspector of Wires. c No.of Reveased Luminaires No.of Celt.-Soap.(Paddle)Fans No.of Total ., Transformers KVA QNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- 1Yo.tit Emergency Lighting g grad. ❑ and. ❑ Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners lio.of Detection and Initiating Devices It i No.of Ranges No.of Air Conde Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tones KW (o.of Self-Contained Totals:I `_ `�_.___._._.�_.._._.__. Detection/Ale Devices No.of Dishwashers Space/Area Heating KW Local 0 Man y . Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Ikvices or Equivalent Heaters ' Signs Ballasts Data Wiring: No.of Devices or ',uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommun�t ens ' , No.of Devices or Eq eat OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and INSURANCE COVERAGE: Unless waived by the owner,nopermit for the upon completion.kmay issue the licensee provides proof of liability insurance includingperformance of electrical work may issue unless undersigned certifies that such coverage is in force,and has eexxhibbiitedeted of of same to coverage or its substantialssuing equivalent. The CHECK ONE: INSURANCEproofpermit issuing office. I certify,under the INSains URANCE id 0 BOND ❑ OTHER 0 (Specify:) 5)8-q11- 6 J ( 8 FIRM NAME: pia of perjury,that the information on this application Zr true and complete. Licensee: LIC.NO.: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line) Address: Bus.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Alt.Tel.No.. Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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)0 owner owner's Owner/Agent ❑ ' agent. Signature Telephone No. I PERMIT FEE:$aGoSt)