HomeMy WebLinkAboutBLDE-23-003581 of r
Commonwealth of Official Use Only
C°4.41 Massachusetts Permit No. BLDE-23-003581
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:12/31/2022
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) 2 CHANNEL POINT DR
Owner or Tenant CHANNEL POINT LLC Telephone No.
Owner's Address 17 CAPE DR UNIT 2, MASHPEE, MA 02649
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ 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: New garage.
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- ElNo.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. Tons Tota No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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
No. romassa H d a Bathtubs No.of Motors Total HP Telecommunications Wiring:
y g 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. /h
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 1:, 2,bp—C((3
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Jonathan R Hall
Licensee: Jonathan R Hall Signature LIC.NO.: 11925
(If applicable,enter"exempt"in the license number line.)
Bus.Tel.No.:
Address:263 CAMMETT RD, MARSTONS MILLS MA 02648 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $75.00
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BUILDING rr rt cX cc�� tt,� Permit No. �-�1 3
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a.11 il, Occupancy and Fee Checked
fit, BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
v All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: ; ��J Sl,7,2.
C.) City or Town of: YARMOUTH To the Inspector of Wires:
"s By this application the undersigned gives notice of his or her intention to perform the electrical work described below,
Location(Street&Number) ,g CC/lck yi,l k q:4 1 u Owner or Tenant . G
C (Ian Y121 Oi ail- _ Telephone No.
Owner's Address
cj
Is this permit in conjunctio with a building permit? Yes Er. No ❑ (Check Appropriate Box)
F Purpose of Building <IE Utility Authorization No.
`) Existing Service Amps / Volts Overhead❑ Undgrd No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
` Number of Feeders and Ampacity rr /�
Location and Nature of Proposed Electrical Work: KC tPtek (UnC4 Fo'k I^ (Aj 1b1.1 pC net,
(?)Crtcy'
kr)
�)u Completion of the following table mf be waived by the Inspector of Wires.
tit No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
n,! Transformers KVA
;::3 No.of Luminaire Outlets No.of Hot Tubs Generators KVA
't;' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grnd
• grnd. 0 Battery Units
�t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
,:--, No.of Switches No.of Gas Burners No.of Detection and
Initiatin Devices
Ili No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Rent Pump Number-'Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Hestia KW Municipal
P g Local❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security S`ystems:*
No.of Water No.of Devices or Equivalent
Heaters KW No.of No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP 'll clecommunications Wirin
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of E ectrical Work: 110,0 DO (When required by municipal policy.)
Work to Start: /S a 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,orage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE DI BOND 0 OTHER 0 (Specify:)
I certify,under the and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: ,..)0 ckilftwn NcNl\ I::,'Ie(4}1:,C;L- LIC.NO.:
Licensee: �)(1,1ckilite I-It.1l Signature LIC.NO.: I J C',25'13
(If applicable,enter"exempt"in the license number line.) j
Bus.Tel.No.:Sc X.u,le 01?
Address:
/-; (..cdMlP4 :1 MclMtA,c M01Sf MR. COG`fd 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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$ 15