HomeMy WebLinkAboutBLDE-23-15881 ..., ck
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Town of Yarmouth , - c�
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ELECTRICAL PERMIT t :* ..r
Job Address: 481 BUCK ISLAND RD UNIT 5AA Unit:
Owner Name: BOARD OF TRUSTEES
Owner's Address: 481 BUCK ISLAND RD BLD 5 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15881
Existing Service Amps/Volts Overhead 0 Underground 9 No. of Meters:
New Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: replace secondary transformer& replace meter stack on building 5 (508-388-
6169)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 ❑ Level 2 El Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: October 30, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MATTHEW P DENNEN License Number: 21609
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BUZZARDS BAY BUZZARDS BAY MA 025320088
Email: permits@cesinc.biz Business Telephone: 508-388-6169
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.
INSURANCE:
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BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1'07]
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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:5/4/2023
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)481 BUCK ISLAND CONDOS
Owner or Tenant CIO BOARD OF TRUSTEES,481 BUCK ISLAND RD,WEST YARMOUTH,MA 02673 Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No. 12784343
Existing Service Amps / Volts Overhead ❑ Undgrd❑ 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: Replace secondary transformer&replace meter stack on building#5
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
f Detection and
No.of Switches No.of Gas Burners No. Initiating Devices
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
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 0 Connis hole ❑ Other il
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW
Heaters Signs Ballasts No.of Devices
of No.of Data Wiring:
evices 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:',! (.'K., (When required by municipal policy.)
Work to Start: ! G.I;: .3),:1 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 t pei it issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perfuly,that the information on this is on 's true and complete.
FIRM NAME: MATTHEW P DENNEN LIC.N0.:21609
Licensee: Matthew P Dennen Signature - r-e:
g '� LICE.NO.:
Ilfapplicable,enter "exempt"in the license number line.)
Address: PO BOX 88 BUZZARDS BAY MA 025320088 Bus.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.L iel.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 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$ 80 I