HomeMy WebLinkAboutBLDE-24-886- 6/4/24,2:58 PM about:blank
- -„' '. Commonwealth of Massachusetts of YA.R
* -� Town of Yarmouth �'� 4
. 44
- ELECTRICAL PERMIT "`' "TMA�"".`
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Job Address: 28 SOUTH SHORE DR Unit:
Owner Name: RJ RESORTS BEACH RESORT OWNER LLC
Owner's Address: 65 E 55TH ST 33 FL Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-886
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Remodel "Model" room l40 4 z15
No.of Receptacle Outlets: 0 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.0 Above-Grnd.0 Hot Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 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❑ Level 1 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 3, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOHN WEISS License Number: 22602
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SOUTH DENNIS, MA, 02660 SOUTH DENNIS MA 02660 Fee Paid: $260.00
Email: weisselectric@outlook.com Business Telephone: 508-241-0585
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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=_ —" Permit No.: ��— ��(.D
e— I�It=6t Department of Fire Services Occupancy and Fee Checked:
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�� �ff �A OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
BUILDIN'IEPARTAPP (CATION FOR PERMIT TO PERFORM ELECTRICAL WORK
By.------ --•- • .- performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 CjVIR 12.00
City or Town of: YARMOUTH_ • Date: 0. ) 2 4/
To the Inspector of Wires: By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): Unit No.:
Owner or Tenant: I cd Tq/Cft e 1 /S(r�cL gesiy,-) Email:
Owner's Address: / 5 54c.re IN," S'• W5ge-d-•cv.+V-i Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No ❑ Permit No.:
Purpose of Building: /-crake-r- Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: 4,*h i 0 eiticAVe 4 Itc++,,0,e G—Li- ScC ce
iQe.bcce ii e Te//fh►r
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable 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 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 ❑ 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:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired, or as requir d by the Inspector of Wires.
Estimated Value of Electr' al ork: (When required by municipal policy)
Date Work to Start: 62 y I spections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: C1 GJ 1% /ea%/`%c A-1 ❑ or C-1 ❑ LIC. No.:
Master/Systems Licensee: W e %'s 5 LIC. No.: '2 1-4'0'' 4
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: ✓ Q' Qi -L --.-e kcd S, Den,s,t
Email: (. t-r"CS/ /eC7P ^� to oil,Flaw A-• c.cvfri _ Telephone No.:
I certify, under the pains and penalties of perjury, that the inform on on this placation is I nd complete.
Licensee: N/x C,,ASS Print Name: ' Cell.No.: -72G//G4 sly
INSURANCE COVERAGE: Unless waived by the owner, ermit f e performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"c age 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 01.- BOND ❑ OTHER ❑ Specify:
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: Tel.No.:
Signature: Email.:
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