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Home My WebLink AboutBLDE-23-004222 /111/4iP Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004222 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:1/30/2023 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) 31 HAWKS WING RD Owner or Tenant GREAT WESTERN ROAD LLC Telephone No. Owner's Address P 0 BOX 25, CHATHAM, MA 02633 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: In-ground pool Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 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 Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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 TOTTEN LIC.NO.: 22421 Licensee: MICHAEL TOTTEN Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Address:228 STONEY CLIFF RD, CENTERVILLE MA 02632 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. I PERMIT FEE: $85.00 INV 6-'1A-wry° ii)lato---Pia-Tioc-6-A, - __. y,3 w....._, ,.4-c c .e 2...eCA6 - �� r--- //�� DD �1/1/) / Official Use Only _® C—ommontuealt�o�/I'/aidachu�et� ,r— ' i / R �;w *____�/, c� Permit No. 22,2 ...�. = .2 epartment o/.ire.Services _`- ,__ Occupancy and Fee Checked �A� `� 'et.' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING u EPLLcATION FOR PERMIT TO PERFORM ELECTRICAL WORK B 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: _l__ s c acs Z 3 City or Town of: Ye(•iV10ts-t'l,. 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) `j 1 A(„) k'5 (A ) r1 e ed Owner or Tenant t C� - N ri)v t `(s ve+O) l Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Li,y\deiryck LiNi viol (.;(\-`(1, 1 Utility Authorization No. Existing Service 2 00 Amps I Zc / 2.,4 o Volts overhead ❑ Undgrd Fa-- No.of Meters ~ New Service Amps / Volts Overhead 17 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Cr Location and Nature of Proposed Electrical Work: i ... (I L.,,,,,, t., r,1 - �� yi e cJ l^t,,(tQ re,rot� �‘,..)J 'pock 1_.v,5-6= M pc,0\ 044 :0 h6,,,i, Completion of the following table may be waived by the Inspector of Wires. No.of TotalCi No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA pj No.of Luminaire Outlets No.of Hot Tubs Generators KVA Q;, Abovein In- No.of Emergency Lighting S No.of Luminaires Swimming Pool grnd. ❑ grnd. LP Battery Units 4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ``" No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Devices 1. No.of Ranges No.of Air Cond. Tons Alerting Heat Pump Number Tons KW No.of Self-Contained �, No.of Waste Disposers Totals: I } I Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other -v Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of No. of Data Wiring: Heaters Signs < No.of Water KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: �Q Attach additional detail if desired, or as required by the Inspector of Wires. ' Estimated Value o Electrical Work: (.,C)OC. c`' (When required by municipal policy.) 1�"I) Work to Start:1 'go 12-0 2-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. M 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 c. yerage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) �,. I certify,under the pains and pena�penalties of perjury,that the information on this application is true and complete. 0, FIRM NAME: 1 \ ' ' (A + --1-C. LIC.NO.: 111 Dl'I/4 B 1 ( '-- V.� Signature LIC.NO.: .Z,L12-/ Y� Licensee: ''Ill f`�t'�Q sY applicable, enter "exempt"in the license number line.) Bus.Tel. No.: Address:(IfAlt.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 ❑ owner's agent. Owner/Agent Telephone No. I PERMIT FEE: $ Signature C[64 U n r./