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HomeMy WebLinkAboutBLDE-23-001475 , , Commonwealth of Official Use Only �L:•,., ► Massachusetts Permit No. BLDE-23-001475 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:9/20/2022 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 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: Wiring for swimming pool. 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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: John A Stoddard Licensee: John A Stoddard Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 20922 Address:51 HOBART ST, HINGHAM MA 020432719 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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)) ❑ owner ❑ owner's agent.Owner/Agent Signature Telephone No. I PERMIT FEE: $85.00 I aalittVO er SaillS - /AiAeot4w 9(21( com+n ,r few._ � c- ua l�7av L 7/i6(Z3 ors C� r�Rom, �, ) died 31"flz3 R E Cf4E IYV E D Final Inspection Required :w._ _ SET 19 2022 •nwea/ho/Maddachudeltd Official Use Only DING DEPARTME c7 Permit No. 23 —i7 c /1r� e,admen,oll ire Serviced II-I 47 :BARD OF FIRE PREVENTION REGULATIONS Occupancye . / and Fee Checked)= _ Y„�—`� ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELE TRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR T P ALL INFORMATION) Date: /7fi ), City or Town of: A r ©(3+- 1,1 . To the In ector of Wires: By this application the undersigned gives notice of his or her intention to perfwi the electrical work described below. Location(Street&Number) sT d,4l-'-t_L., Pai tAT (^. Owner or Tenant t e.K., .i to ovt d vt 5 Telephone No. Owner's Address A' Is this permit in conjunction with a building permit? Yes sig No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ..Ce,Amps l;2d'l i f(wolts Overhead ❑ Undgrd LXI No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity 3 — 2/6 ; Location and Nature of Proposed Electrical Work: Pes,e5 .,to t'‘hF I o 11 PA Lt , L "r rr ki c A ., Completion of thefollowingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total 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 Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ the' No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ®, G Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Elec ical Work: gl 00G. (When required by municipal policy.) Work to Start: ? 1 Il 2---I---Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVE GE: 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 coy ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (BOND ❑ OTHER 0 (Specify:) I certf, under the pains pen !t' s o A f p�j ju ^htat the information.on this application is true and complete. q FIRM NAME: ;i,4k ��i!C�1 tic_ i'�k >^ ,®/ Licensee: � D �,�K _ LIC.NO.: '�.. Signature e .q LIC.NO.:b.- ? 3/a (If applicable,Ater "e pt"in he li number�j ) j r Address: 5 % jet (7`�" �1 bt f+-. / ��'l ( Bus.Tel.No.: i � 794 *Per M.G.L. c, 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.T No. ���)r ��ii f) 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: $