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Home My WebLink AboutBLDE-23-004096 Commonwealth of Official Use Only • 1. Massachusetts Permit No. BLDE-23-004096 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 work described below. Location(Street&Number) 923 ROUTE 6A UNIT U Owner or Tenant CHAPTER TWO LLC Telephone No. Owner's Address C/O IVANA LIEBERT, PO BOX 206, YARMOUTH PORT, MA 02675 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: Replaced ceiling lights&split system. (BUILDING 7/UNIT U) 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 Ranges No.of Air Cond. 1 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 0 Municipal ❑ 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. FIRM NAME: CORY J WALKER Licensee: CORY J WALKER Signature LIC.NO.: 54207 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 Sheffield Rd, Brewster MA 026312860 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: $80.00 21gf'0 t'c 7� 1) icgi eo 1 , Causa oaw aAh o`Mas.drrs.a'le Official Use Only T R E a r' '"`E D Ap rrG,te�t o/.`4. S.4.1 Permit No. ��3- 9(p JA =' 023 RD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] (leave blank) BUILDING iuEY/P 4 ION FOR PERMIT TO PERFORM ELECTRICAL WORK By ---.. ork to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM1t.12.00 'LEASE PRINT IN INK OR TYPE ALL INFORMATION Date: I 1'-/2 City or Town of: C\Rr�� ',,'W.) C, ,'� To the Inspector of Wires: By this application the undersigned yes notice of his orlher intention to perform \ the electrical work described below. Location(Street&Number) Ci 3 a} (,n .,,,\d\;'�` 7--\:.A\.� Owner or Tenant 3,M I`SiA7�K, /cr \(x �J Y kU O L Tele , p-7 Owner's Address Phone No. C �" I1 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building g v C—C D C,->1(C c'1 Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volta Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: \ V\o cs CZ 1 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.Soap.(Paddle)Fans No.of Total Transformers I{VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 'Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number}Tons I KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equiyaktit No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Winne OTHER No.of Devices or Equ' Estimated Value 4f 1 cel Work: Attach additional detail if*sired or as required by the Inspector of Wires. E -7/C�-�-' (When required by municipal policy.) Work to Start: I I Z 7) 7,73 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 za BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: Licensee: C Y�(1)491,jb' LIC.NO.: YJy2U NO.: ,... Licensee: (If applicable,enter' t"t"r li a Signature r • / LIC.NO.: Address: t(� pp�eeee �e trb�Arne.) `_ Q�1r1 P\ 1�d 'P l tS�t (ri `(v i Bus.Tel.No: 5� `Per M.G.L.c.147,s 57 61,security work requiresc License: It Tel.No.: - - i1 I OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no e�the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ■owner Owner/Agent owner's. eat. Signature Telephone No.--- a