HomeMy WebLinkAboutBLDE-23-5478 BLD. 9 Commonwealth.ol///asaachuieEfa Official Use Qnly
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_= L leparEment o ire�erviceo Permit No.
i� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
�� [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: 3/31/23
City or Town of: West 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 Road
Owner or Tenant Buck Island Village Condo Telephone No. 508-778-6513
Owner's Address 100 Willow Wood Drive, South Yarmouth, MA 02664
Is this permit in conjunction with a building permit? Yes ❑ No
(Check Appropriate Box)
Purpose of Building Commercial Utility Authorization No. 1246403
Existing Service _ Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
r\I_ New Service Amps / Volts Overhead
❑ Undgrd ElNo.of Meters
—0 Number of Feeders and Ampacity
U Location and Nature of Proposed Electrical Work:
C REPLACING SECONDARY WIRE TO THE TRANSFORMER
AND REPLACING METER STACKS Bldg. 9. Work in conjunction with Eversource on standby.
Completion of the following table may be waived by the Inspector of Wires.
tfl
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
C.) 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
tNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
n Initiating Devices
Tot
(.}_- No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
, - No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
,-. Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
CS
Connection ❑ Other
E
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of No.of Devices or Equivalent
f 1 Heaters KW No.of Data Wiring:
`'N' 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: $8,000
(When required by municipal policy.)
Work to Start:3/28/23 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 I BOND 0 OTHER 0 (Speci
I certify,under the pains and penalties of perjuty,that the informa•1 • o is application is true and complete.
FIRM NAME: COMMERCIAL ELECTRICAL SOLUTION
Licensee: MATTHEW DENNEN `' LIC.NO.:21609a
(If PP SiSigna J:��
applicable,enter "exempt"in the license number line.) / ��"�'"`� LIC.NO.:
Address: 55 PORTSIDE DR.POCASSET,MA 02559 r
Bus.Tel.No.:508-388-6169
*Per M.G.L. c. 147, s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
Alt.Tel.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 a.ent.
Owner/Agent
Signature
Telephone No. PERMIT FEE: 160.00