HomeMy WebLinkAboutBLDE-24-153 1/31/24,8:02AM about:blank
Commonwealth of Massachusetts 01
Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 714 ROUTE 6A Unit:
Owner Name: ALCA PROPERTIES
Owner's Address: 714 B ROUTE 6A Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-153
Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: General clean-up of wiring and removal of old restaurant equipment
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❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: January 31, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID R NICOLL License Number: 37557
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S YARMOUTH, MA, 026641038 S YARMOUTH MA 026641038 Fee Paid: $80.00
Email: dnicoll5@comcast.net Business Telephone: 508-360-7313
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:
Z. L. 4,kJ GA.; Li) V21z)Le.
about:blank 1/1
Commonweatth ()I' MaisacLietts O ficial Use Only
L7Tr1`
IF c __H c� / Permit Na.
-fit = a ./lepartmenl o/_lire �ervices
6. ,-I BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
'r.�,.75111.7'� [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 INFORMATION) Date: SAKI 3 i 1 J--0011
City or Town of: y Aizokb U` -1- To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the elecOcal work described below.
Location(Street&Number) -7 I Li- R F A (`u N1 ly 7,.3
Owner or Tenant A-1---~C—A 1Ko` t= n - --S Telephone No.
Owner's Address {
Is this permit in conjunction with a building permit? Yes VJ 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❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: t "�"d L- �``us`i' A
�� � V`%(iz !1/4`)C•-
'.i-c i'i x NY f 0 u`F-L;ITS - C .t-3,v^j)..4--L IA)I r 2. CA/( C._.L_eAN
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
ernd. grad. 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. Tan l No.of Alerting Devices
No.of Waste Disposers Heat Pump Nunlller-- Tons. KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipalonnection 0 Other
C -4 .
No.of Dryers Heating Appliances KW Security Systems:*
No. of Devices or Equivalent
No.of Water No.of No. of Data Wiring:
Heaters KW 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: (When required by municipal policy.)
Work to Start: 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 Iicensee 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 dr permit iss,u ng office.
CHECK ONE: INSURANCE BOND 0 OTHER ❑ e ify:) V.i�U1 -i
I certify, under the ins and enalties of f �� Ce�;�CaS' j
p that the in ormatio on this a lic don i true
FIRM NAME: .Jlkti" .() NiWO U.- \ mplete.
Licensee: k �, / LIC.NO.: 57
Signatu e t ---, LIC.NO.:
(If applicable enter"exempt"in the license tuber line.) -!, !^�0�.-39q F 0 31
Address: I LI tt bit t FTWOO,I LA- -5,YARAtAt k( 'Mk- 03 66,f Alt. Tel. o.::$t)
*Per M.G.L. c. 147,s 57-61,security work requires Department of Public Safety "S"License: Lic.No.No. $-31r0 �7 {j call)
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. PERMIT FEE: S —