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Home My WebLink AboutBLDE-22-006750 POOL (e(ri Commonwealth of official750 Use Only Ems, Massachusetts Permit No. BLDE 22 006 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:5/23/2022 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) 192 SOUTH SHORE DR UNIT 1 Owner or Tenant Horizon Engagement, LLC 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for swimming pool, heater, bonding,&equipment. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices n 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 Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: MICHAEL S WALSH Licensee: Michael S Walsh Signature LIC.NO.: 51043 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 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. Z—( 412- UMW/a- , A 1 A/ikt 7/747 Co6100-i Y �4.kikta /4V/ -- PP 7co (4,20' ff et7/7-7-- /d4.de) RECEIVED <A, MAY 2 0 2022 ,twat th 0/Madeah t Official UseseOnly C� J P ; .B; Ci �EPARTM s-arGnsnfo Permit No. ...'"2-7--40790 -:1t ` E l gips�srvicse Occupancy and Fee Checked - PREVENTION REGULATIONS [Rev. 1/07] -,- '�,'� "':V (leave blank) n d APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 Z,d l Z Z 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) VI?, S S h of. Owner or Tenant 140 r 1201 �y��s iti..,� \ ,LLC., Telephone No. Jl Owner's Address I q Z ) S L o r•e 9 f J Is this permit in conjunction with a building permit? Yes 0 No 2r (Check Appropriate Box) Purpose of Building klo It\ Uttii y.Authorization No. ' Existing Service b Amps I to /210 Volts Overhead r0 Undgrd d g El No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 3 Number of Feeders and Ampadty "% Location and Nature of Proposed Electrical Work: k lre. p00 I, ',- y)oc) y%l QLcf 14-4A. , �n , 1t.�.j-crvl `l 1 uU Completion of thefollowingtable may be waived by the Inspector of Wires. tit No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.of Total Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires 5 SwimmingAbove In- No.of Emergency Lighting _ Pool grad. ❑ grad. Imi Battery Units No.of Receptacle Outlets t No.of 011Burners FIRE ALARMS No.of Zones , a - No.of Switches No.of Gas Burners tN0.of Detection and Initiating Devices l r No.of Ranges No.of Air Cond. TotalnNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW °No.of Self-Contained Totals: ... _._. _.. Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal P Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW SceNo of Devices 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: 5 G ev (When required by municipal policy.) Work to Start: 5 '2.-C)-•ZZ 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 cov�ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L] 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: /tc L A S Ls e-L.' LIC.NO.: 610413 IZ. Licensee: /1.4 mt.-4 5 (.)G.(s k s.---r- Signature '% ,A (....---1-1.4-• LIC.NO.: r. (0 y 3E (If applicable,env-"exempt"in the license number line.) V Bus.Tel.No.• 50v -b3,Sal ck Address: G • 5`')01 S '(.0ll� SNAL-( ,/Cis (3'Z--G Leg 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$