The URL can be used to link to this page

Home My WebLink AboutBLDE-23-003642 '�'1 Commonwealth of official use only t Massachusetts Permit No. BLDE-23-003642 ti 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:1/5/2023 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&generator 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 1 KVA 22 No.of Luminaires Swimming Pool Above ❑ In- 0 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 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* y 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 Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required Value of Electrical Work: (When q uired by municipal policy.) 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 Licensee: MICHAEL TOTTEN Signature LIC.NO.: 22421 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 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. 'PERMIT FEE: $160.00 /,0*1 85 X' RECEIVED irenat_ 7 9SL Q! / Official Use Only _ N 04z�z3 CO nwQalth �Ia.,dachudoild `,, t 1 t �'] Permit No. (Z -3 14 1 +r s/DR!tm.nl o�,}irs srvicsd r+,..w 5 }.f , �+ G ) PARTMENT Occupancy and Fee Checked BOA == E PREVENTION REGULATIONS [Rev. 1/07) (leave blank) 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: / 4t/— ,- )(j 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) '/ //c2L k LL ret +:�. V G,,.�v w ,1 111 a 6 J,(,.,6,q Owner or Tenant R tell c, i),•,t- (`c; ;t-al. P t A'5, Telephone No. 7N-gay-c c(S-. Owner's Address .�3 a ix Is this permit in conjunction with a building permit? Yes El No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '4,11E 43 46)(,, ') To qr",:),,Yi ecc1 )) 0 1(0?etiepzid e o, fl Completion of the followingtable may be waived by the Inspector of Wires. tly No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total pi Transformers KVA ''=1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA <t;' No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units _ Zi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and N- No.of Switches No.of Gas Burnersc. Initiating Devices ill No.of Ranges No.of Air C'ond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained ; Totals:L Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Munnnectiicipaonl 0 Other Co No.of Dryers Heating Appliances KW Security Systems:'t No.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: (When required by municipal policy.) Work to Start: Jt-S r0 J`' 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 ►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: 1127 Ele&-i-ct C'.. LIC.NO.: / 7 O'`t/q!J Licensee: kr,01 0 /to if t Signature t*"1:gt , LIC.NO.:_90..Sai q (If applicable,enter"exem t'in the lie Pena b r ling.) Bus.Tel.No.: a,-)g-e .' SO Address: . Sa 08> C_/L S< • C.t« Ot IZ t? i 11 A e:-/'3 '' 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$