HomeMy WebLinkAboutBLDE-20-003528 'sem',
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f►�` ►i Massachusetts Permit No. BLDE-20-003528
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:12/20/2019
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) 29 SCALLOP RD
Owner or Tenant CHLECK FAMILY FOUNDATION INC Telephone lo.
Owner's Address CIO CHLECK DAVID,254 VILLAGE BLVD#4103,TEQUESTA, FL 33469 1/41 a 00 „ 4
Is this permit in conjunction with a building permit? Yes 0 No 0 (
Purpose of Building Utility Authorization Nd ., `
Existing Service Amps Volts Overhead 0 Undgrd 0 -" . , ' '
New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New residential house to be wired
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 143 No.of Ceil:Susp.(Paddle)Fans 2 No.of Total
Transformers KVA
No.of Luminaire Outlets 15 No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above 13In- 1:1No.of Emergency Lighting
grad. grad. Battery Units
No.of Receptacle Outlets 105 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 83 No.of Gas Burners 1 No.of Detection and
Initiatine Devices
No.of Ranges 1 No.of Air Cond. 5 Total 12 No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: 2 6 Detection/Alertine Devices
No.of Dishwashers 3 Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection _
No.of Dryers 2 Heating Appliances KW Security Systems:*
No.of Devices or Eauivalent
No.of Water 2 KW No.of No.of Data Wiring:
Heaters ,Siens Ballasts No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 15
No.of Devices or Eauivalent
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: 12/21/2019 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: DAVID BALFOUR
Licensee: DAVID BALFOUR Signature LIC.NO.: 22363
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 14 STARBOARD DR, MASHPEE MA 02649 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) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$180.00
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filen, Ken
From: Elliott, Ken
Sent: Wednesday, February 24, 2021 1:06 PM
To: 'manewservice@eversource.com'
Cc: Elliott, Ken
Subject: 29 Scallop Road,
Please activate new service connection located at 29 Scallop Road,West Yarmouth. Work order number: 2294917. My#
0060. My call back number 508-294-2433.
PL:EASE RESPOND WITH AN ACKNOWLEDGEMENT TO THIS REQUEST.
Thank you.
K. Elliott
Inspector of Wires
Town of Yarmouth, Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 (Extension 1263)
kelliott@yarmouth.ma.us