The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004104 Commonwealth of Official Use Only I., ,i SI Massachusetts Permit No. BLDE-23-004104 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:1/25/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical w rk described be Location(Street&Number) GREENOUGHS POND -Z7J7 u Owner or Tenant CAPE COD COUNCIL OF B S A Telephone No. Owner's Address 247 WILLOW ST,YARMOUTH PORT, MA 02675-1744 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 200 Amps Volts Overhead 0 Undgrd IZI No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for meeting hall with generator. 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 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 No.of RangesNo.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 No.of No.of Ballasts Data Wiring: Heaters KW 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. FIRM NAME: MARK L AVERY Licensee: Mark L Avery Signature LIC.NO.: 13272 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:77 AGNES RD, SOUTH DENNIS MA 026602814 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $200.00 1 // Wi-3 f-e-, 2o..,<;:47( rO.149-C 4671-444 ____---- 5 t Cc, tx(y142-3 iE7 e0# (Me9vstfop BLDc. —(264,c 49 14242_, tr . RECEIVED . owmno ea o/MaJoachuJett Official Use Only -'-- JAN 23 2 3 \ -3 -`�(�`-i = �7 Permit No. . j, . o f.7ire JerviceJ 1-11 Occupancy and Fee Checked B B llltlE1 UFftlYME ENTION REGULATIONS [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: 1/23/2023 City or Town of: 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)227 Pine St Yarmouth Port,MA 02675 Owner or Tenant Cape Cod&Islands Council,Boy Scouts of America Telephone No. (508)362-4322 Owner's Address 247 Willow St,Yarmouth Port,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Meeting Hall Utility Authorization No. Pending Existing Service Amps / Volts Overhead❑ Undgrd n No.of Meters New Service 200 Amps 120 / 240 volts Overhead❑ Undgrd n No.of.Meters 1 Number of Feeders and Ampacity 1 set 200A Location and Nature of Proposed Electrical Work: Wire all power in new meeting hall including standby generator and service Completion of the followin&table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:Sus . Paddle Fans No.ofTVA p (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ ❑ BatteryUnits grnd. grnd. c. No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection _ No.of Dryers Heating Appliances KW Security Systems:' r'y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 25,000 (When required by municipal policy.) Work to Start:2/15/2023 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 ❑� BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Mark L.Avery .NO.: Licensee: Mark L.Avery Signature LIC.NO.:13272 (If applicable,enter "exempt"in the license number line.) us.Tel.No.:508-898-8890 Address: n Agnes Road,S.Dennis MA 02660 Alt.Tel.No.:774 994 0626 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SS-002294 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 I Signature Telephone No. I PERMIT FEE: $200.00