HomeMy WebLinkAboutBLDE-24-444 3/20/24,6:55AM about:blank
`A 'D Commonwealth of Massachusetts of IPA"
* Town of Yarmouth �`...
ELECTRICAL PERMIT l''k f$
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Job Address: 45 COMMERCIAL ST Unit:
Owner Name: FORTY FIVE COMMERCIAL LLC
Owner's Address: PO BOX 1210 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-444
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: EV Chargers (Up to 3 inspections)
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: 4
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $48,000 Work to Start: March 11, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JUSTIN B TALBOT License Number: 20918
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BROCKTON, MA, 023011022 BROCKTON MA 023011022 Fee Paid: $240.00
Email: projects@ohburg.com Business Telephone: 781-344-0522
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 Occupancy.1/0 ] (leave
nd Fee Checked
[Rev.Iro7] (leav 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: 2-1F,1?.-
City or Town of: ,a___`Sar V \C`L I \. 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). (`iCT`( `r E')at cs--t-•
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box)
Purpose of Building Utility Authorization No. 13 4 rjcjq�
Existing Service Amps / Velb Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 4 1r> `fit t Li)'27E,A 120i o%n(
3- a5�. '1- wir': -t'y-qt e' Ci-i bin' �c t Ev cl--. -Irnc-r . `C�l !
Completion of the following cable maw be waivedityhe ln�ector of Rms.
VI
Lb No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Transformers KVA
t No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grad. 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
Ill No.of Ranges No.of Air Cond. Toons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number.Totes. pay No.of Self-Contained
Totals: Detection/AlertingDevices
No.of Dishwashers Space/Area Heating KW Local Municipal
0 Connection 0 Other
No.of Dryers Heating Appliances KW SecurityNof ystemDevice:as 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 Telecommuaicstioos Wiringg:.,
No.of Divlin er•Eo ig&atE
OTHER: ------
0 Attach additional detail if desired,oral regairedlhgithe mallet �i Estimated Value of Electrical Work: ��t)� (When required by municipal policy.) . Y
Work to Stan: 2/// J2q Inspections to be requested in accordance with MEC Rule 10,and uponcompletjgn.N ENT
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of eleciyjcgl work may issue,,.labs
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 ❑ OTHER❑ (Specify:)
I certify,under the pains and penalties of, erjurr.that the info n this application is true and complete.
FIRM NAME: 1 WC.NO.:2.C.�}-118i .
Licensee: t --` Signs LIC.NO.:
(If applicable,�4+er iryjhe
Address: �Z`1 r�Le�� e1��IL �n Ir Alt.Tel.No.• �! ``Fi22.
'Per M.G.L.c.147,s.57-61,security work requires Departm f Public Safety"S"License: Lie.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:$ 21-i-C -
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