HomeMy WebLinkAboutBLDE-24-887- 6/4/24,3:04 PM about:blank
Commonwealth of Massachusetts o� Y��
* Town of Yarmouth ,,_ °
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ELECTRICAL PERMIT ,M ORATEO Nb�9�
Job Address: 291 SOUTH SHORE DR Unit:
Owner Name: RJ RESORTS BLUE WATER 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-24-887
Existing Service Amps/Volts Overhead ❑ Underground El No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Remodel "Model" room. p /t G 4 /3,7
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: 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 ❑ Level 2❑ 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: $260.00
Email: weisselectric@outlook.com Business Telephone: 508-241-0585
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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RCCs eVED Commonwe :34alth of Massachusetts
Permit No
JU +—_ II=04;=�1 Department of Fire Services Occupancy and Fee Checked:
e Ax BOA 'D OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
BUILDIN '-a -' ME PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
8y. —_
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 5 7 C R 12.00
City or Town of: YARMOUTH _ Date: Q/32 4/
To the Inspector of Wires: By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 2R'l . ',54Ore /ty-, Unit No.:
Owner or Tenant: /5 lU e C,..ci.T tom' /2'e$ % Email:
Owner's Address: z '/ S.SI,'e ors% S.5 's...)w7li Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No ❑ Permit No.:
Purpose of Building: AeSe,^7 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: LGh r A.cr-w el/ re•-sac.e- cvh-ALL Sc�es'
Re/occur re Tv/�%n t 6,,:• e T
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❑ No. of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd. 0 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 El Ground-Mount❑ Level I ❑ Level 2❑ Level 3 ❑ Rating:
OTHER:
Attach additional detail if desired,or as re fired by the Inspector of Wires.
Estimated Value of Electr' al ork: c (When required by municipal policy)
Date Work to Start: Gy Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: ejecif'C A-1 ❑ or C-1 ❑ LIC.No.:
Master/Systems Licensee: V 4II ('tom.%`$ LIC.No.: 2 2602 4
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: ✓ L et ite-L•h e A 5 ' 1/emi1'S 4— t
Email: (.✓e.e S) E/eC Jj.Z ee Q7ee) 'C 0,4'#'1 _ Telephone No.:
I certify,under the pains and penalties of perjury, that the inform on on this application is true and complete.
—
Licensee: 3wlh f'f Print Name: �/ Cell. No.: ���Z`�/GS�!
INSURANCE COVERAGE: Unless waived by the owner, ermit the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"cov 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 [ , 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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