HomeMy WebLinkAboutBLDE-23-15840 .� - , `A Commonwealth of Massachusetts ov • YA
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Townof Yarmouth
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ELECTRICAL PERMIT - T
Job Address: 573 ROUTE 28 Unit:
Owner Name: MAA GAYATRI MARINER LLC
Owner's Address: 573 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15840
Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Recessed lighting & receptacles. Power for sliding doors at entry.
No.of Receptacle Outlets: 2 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 0 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 El No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 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 0 Level 1 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: May 2, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: Nicholas Fligg License Number: 57241
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address:
Email: Nicholasfligg.splittric@gmail.com Business Telephone:
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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mut=th o`///aeeac/uwlle Official Use Only p'l
i Permit No. 3— I S 8 go
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--• Occupancy and Fee Checked
'a ,/' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
1 All work to be performed in accordance with the Massachusetts Electrical Code(M C).527 CMR 12.00
J (PLEASE PRINT IN INK OR TYPE ALL INFORMATTON) Date: 5 l 123
S- City or Town of: "1Q,Y rv)0'T�1(\ To the Inspector bf Wires:
kBy this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)5i�3 I-Aa in St. est s nOtJktn t H& 026r43
Owner or Tenant K 2V,l n cbl.*6 M A R.1 AIeQ) Telephone No.4 i.-2.12-9,0IS
* Owner's Address 'Same_ o�S above
Is this permit in conjunction with a building permit? Yes J� No ❑ (Check Appropriate Box)
LU Purpose of Building C.a 1met'Ci Utility Authorization No.
gExisting Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
slNew Service Amps / Volta Overhead ElUndgrd❑ No.of Meters
Number of Feeders and Ampacity
Z' Location and Nature of Proposed Electrical Work: llrl vdln�"ve`tteokc lye. ski(.w19 Ein Anncs.
fld L“) x-Pro-Scd Ve)VrtC (i nc (z) e \Cols \r -Nn7 e \3'"C‘t.
v l Completion of the followin•table mp•be waived by the to ctor of Wires.
.0 No.of Recessed Luminaires No.of Call.-Sus . No.of Transformers
P(Paddle)Fans Transformers KVA
SZI
No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
eQ
t No.of Luminaires Swimming P ool Above ❑ In- ❑ No.of Emergency Lighting
grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.InDete v
Initiatingtion Devices
'I No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices
No.of Waste Disposers Hat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertinl_Devices
No.of Dishwashers Space/Area Heating KW Local❑Mounicirrectiopaln ❑other
C
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters 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.
V1e0 Estimated Value of Electrical Work:^-I,500 (When required by municipal policy.)
k to Start:
6,00,
rJ 2 202 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
NSURANCE CO RAGE: 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 ►ter BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: LIC.NO.:
Licensee: og�c.Tiy -i Signature t)(tf)\0.$ FliQ� LIC.NO.: 5 r}241-17)
(If applied-hie.enter"exempt"in the?TCefite number line.) U Bus.Tel.No.•re `8 to-t'9go
Address: 5'5 F(etnnw'S 241 . Yexmev{-h POY1' I H0. dZbri-S 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)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. 1 PERMIT FEE:$2.00