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HomeMy WebLinkAboutBLDE-23-005769 4,.. t je Commonwealth of Official Use Only .. m Q Massachusetts Permit No. BLDE-23-005769 *..". ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:4/15/2023 City or Town of: YARMOUTH To the Inspector of Wires: ��,n 'n By this application the undersigned gives notice of his or her intention to perform the electrical work described bel ti'/w"VIL / Location(Street&Number) 183 ROUTE 28 Owner or Tenant THE COVE AT YM ASSOC LTD PTNRS Telephone No. Owner's Address %VACATION RESORT INTERNATIONAL, PO BOX 399, HYANNIS, MA 02601 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: Install generator Cotnpletion 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 1 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 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters 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. (S CQ— 1. v FIRM NAME: David F Harris 2� _l Licensee: David F Harris Signature LIC.NO.: 33928 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:32 REARDONS FIELD LN, N ATTLEBORO MA 027631163 _ 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: $80.00 �Ct91z- 14p5 c ,,,,►�w , i sU-Vrut , - otbo tz lbw ( 04)arriftia 1,0olte- door yc C&M t&/2 4 3( ut, Y�(le.suye \(t 7 \t?u '�2�-t ICt( ` C c O U I c 2 r 1 t 3�:\7�f !a� (r Rch- � � iq Commonwealth o/Mamachuaat`t Official Use Only 47� cc��r c�77 (('�� Permit No. + eLJepartment of Tire.JarviceJ + 11`7 , Occupancy and Fee Checked ''' ' *ter BOARD OF FIRE PREVENTION REGULATIONS fRev. 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 o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L/, l/a I ao j City or Town of: (C� \i ck f�0 04-h To the Inspector of Wires: By this application the undersigned gives noti e of his or her intention to perform the electrical work described below. Location(Street&Number) �`'� I '1 A n re - .--1- Owner or Tenant M i Chq�1 Et- �)a err `f rn ( 7-3Telephone No. 7'�y /U'7d� Q Owner's Address /$ ,3 p,,( Si�j-� a - pIt m o +h / ) 6 e g3 dIs this permit in conjunction with a builhng permit? es [1 No iTf (Check Appropriate Box) Purpose of Building Utility Authorization No. Ci Existing Service Amps / Volts Overhead ^ Undgrd No.of Meters E New Service Amps / Volts Overhead Undgrd No.of Meters -ZC Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ) ,L L Q 4c:A C/o �g/UA -1 c 4� ®b v Completion of the followingtable may be waived by the Inspector of Wires. Total WNo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA t1 No.of Luminaires SwimmingPool 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 i` No.of Ranges No.of Air Cond. Total Tons No.of AlertingDevices 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 ElMunicipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent `to. Hydroniassage Bathtubs No.of Motors Total HP Telecommunications Wirin : I No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 41.3)Opp (When required by municipal policy.) Work to Start: /n/d-a, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ERAGE: 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,]] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties o, perjuty,that the information on this application is true and complete. FIRM NAME: 1r tC\✓'')Gtlf) it c*r iL LIC.NO.: it Licensee: up II(-.r r j S Signaty �. .-�_ LIC.NO.: 3 3 9 a�� (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.; Address: 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ) 00 -00 .� i .,