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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 b (.(: 4- e-to '21 -/ i ,(4 (-z C -C‘,yca-t-- 7 (t e(23 le WO/ COzie FR€ CF..JVE ® DEC 1522 s aa,, �j K- ommonwaalth o////addaclsudaiid Official Use Only BUILDING rr rt cX cc�� tt,� Permit No. �-�1 3 By_ _ 7fit'z�, n slrarbnsni o�,}ira Jsrvusd 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