HomeMy WebLinkAboutBLDE-22-006203 :,4 Commonwealth of Official Use Only
a
Massachusetts Permit No. BLDE-22-006203
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:4/27/2022
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) 760 ROUTE 28
Owner or Tenant Cape&Island KIA 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: Install ABB Charger
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
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local ❑ 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 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: Christopher J Mcauley
Licensee: Christopher J Mcauley Signature LIC.NO.: 954
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:20 KEYLAND CT, BOHEMIA NY 117162620 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:$100.00
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,* 47 Permit No, —' 3
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panand Fee Checked
j r ik BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occu1/t)7]cy
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i
e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
e
i All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
s (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 04/04/2022
S City or Town of: South 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.
L
Location(Street&Number)
V
760 Route 28
I Owner or Tenant Cape& Island Kia Telephone No. 866-404-2200
u Owner's Address 7R(l Rpi its 28, Sri!ith Yarrnnu ith, MA fl2(R4
s
a Is this permit in conjunction with a building permit? Yes ❑ No f (Check Appropriate Box)
Purpose of Building Utility Authorization No.
C Existing Service Amps / Volts Overhead❑ Undgrd D No.of Meters
o
m New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty 1 -40AMP
Location and Nature of Proposed Electrical Work: install 1 ABB Charger to exterior wall on east side of building w/service
disconnect, within 50 feet existing electrical panels
t
Completion of the following table my be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeI1.-Susp.(Paddle)Fans No.of Total
Transformers KVA
421 No.of Luminaire Outlets No.of Hot Tubs Generators KVA
a
No.of Luminaires SwimmingPool Above ❑in- ❑ No.of Emergency Lighting
itrnd. grad. Battery Units
"° No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners �Io.of Detection and
Initiating Devices
1 U No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump Number Tons KW Pilo.of Self-Contained
No.of Waste Disposers
Totals: w...._.._...._........ Detection/Alerting Devices
u
No.of Dishwashers Space/Area Heating KW Local 0 MConnnicipalection 0 Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters KSigns Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP 'efeco of c#ions ' tin
No.of Devices or Equivalent
OTHER: 1 -40AMP
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $3550.00 (When required by municipal policy.)
Work to Start: TBD 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 [31 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: Lane Valente LIC.NO.:
LIcensee: r.hristnphPr Mr.AidPy Signature Cks.t—a-c-e-ke� 7Y1Lc- --&.t.IC.NO.: 954 MR
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: b1 -I I y-fiUt3U
Address: 98 Maple Aye, Smithetown, NY 11787 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by la.. By my sill,tore below,I hereby waive this requirement. I am the(check one)❑owner ®owner's agent.
Owner/A :