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HomeMy WebLinkAboutBLDE-22-002305 \ `f Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002305 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:10/22/2021 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) 58 PUTTING GREEN CIR Owner or Tenant BALLOU SUSAN C TR Telephone No. Owner's Address SUSAN C BALLOU REV TRUST, 3 HILLCREST PARK RD,OLD GREENWICH, CT 06870 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: Kitchen renovations. (Per attached) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 5 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 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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: ATLAS ENERGIES, LLC Licensee: Paul McGrath Signature LIC.NO.: 22617 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 High Noon Drive,Centerville MA 02632 Alt.Tel.No.: 7742681133 *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: $75.00 .`"FiUr14 ,., 3 n/ OCTRECEIVED 20 2021 0 Co saki ol Maseacitueelis Official Use Only 1. •3' '/I LD I N G DEPART NT cc��� Permit No. 0.2 - �-2. © 5 r� -• ,. . aE o`giie Serviced ,`. t ,,.. BOARD OF FIRE PREVENTION REGULATIONS ReOccupancy. / and Fee Checked) :. (leave blank) APPLICATION FOR PERMIT ERMIT TO PERFORM ELECTRICAL WORK Qs, All work to be performed in accordance with the Massachusetts Electrical Code(M ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / n l$/2O2 1 j City or Town of: •c4 r mor -�I To the Inspector of Wires: By this application the undersigned gives n Lice of his or her intention to perform the electrical work described below. 9 t/ � rl Location(Street&Number) S� :,%+4;r1 q 6 4-e e n c ' r'c\e. 0Owner or Tenant pq l 1 O k Telephone No. "203—?61-052 Q)M Owner's Address j $ Ru+4. r`5 C c-e e wl C Z r c. el-7— Is this permit in conjunction with a building permit? Yes ❑ No L1 (Check Appropriate Box) • Purpose of Building Utility Authorization No. [ -6 Existing Service 200 Amps 1 Za /2'I0 Volts Overhead[r Undgrd❑ No.of Meters I (5" New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters —'1" Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: �e nib.,e_ adJ. rQ arm Le-L .e1 C o u n 4-2 4- c"-k Si t 1L;fella." t igjt'S i 44J ---q e c.E-ciruf. „S(-Al1 an c0,t).ie4' 1\9 1 4S® Completion of thefallowingtable may be waived by the Inspector of Wires. Nootal c "4 No.of Recessed Luminaires Trano VA I No.of Cell-Snap.(Paddle)Fans f r Tsformers KVA No.of Luminaire Outlets [ No.of Hot Tubs Generators KVA . No.of Luminaires t 7 Swimmingpool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets et No.of 011 Burners FIRE ALARMS No.of Zones No.of SwitchesNo.ofBurners No.of Detection and S GasInitiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposer Heat Pump Number Tons .__.,KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers t Space/Area Heating KW Local Q Munidpal 0 Other 1� Cyyonnatbn No.of Dryers Heating Appliances KW Security * o. f 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 Wlrhig No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E ' al Work: (When required by municipal policy.) Work to Start: v t is y Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the ins and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: +Las �„Q e S L.L. 0 LIC.NO.: 1q O 41 Licensee: "'�?c N( ,M Cen Signature .��'/,,� LIC.NO.: 22.(1 11 14- (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: '7-7 y—ZC if—1133 Address: 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ "V S.