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Home My WebLink AboutBLDE-23-005464 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005464 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:4/3/2023 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) 225C WHITES PATH Owner or Tenant TWO TWENTY FIVE WHITES PATH LLC Telephone No. Owner's Address C/O TURTLE ROCK LLC,231 WILLOW ST,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Temporary wiring for stealth camera system done in the past.(FEDEX) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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. grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 Siens 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Matthew P Dennen Licensee: Matthew P Dennen Signature LIC.NO.: 21609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 88,BUZZARDS BAY MA 025320088 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$330.00 I. REC IVED ;I"' ____ T- __ ,.--- -. Official Use Only -- w-1 i `� e 0/Maaoach CC5MAR 31 Z023rrou' aIt Permit No, Z3�9 ` .. --- _- 1 •fl7,, przrE�nai:1 <� r;��+ trv�ss !' _{✓I N G D PA Occupancy and Fee Checked _ ! ii\IL. .,,*� ' -- �. M RT ME -'ft PREVENTION REGULATIONS ,[Rev. 1/07 (leave blank) --, PERFORM ELECTRICAL WORK APPLICATION FORPERMITTOElectrical Code ��, 527 CMR l2.o�� All work to be performed in accordance with the Massachusetts , (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: k�‘,F-c,k . i:D t i', ?04' City or Town of: To the Inspector of Wires: By application this l tion the undersigned gives notice of his or her intention to perform the electrical work described below. 0- Location (Street & Number)% . - Li6vi.1 i- es F,._ - Owner or Tenant re 1 f= Telephone No. vt Owner Is this permit in conjunctionbuilding s Address with a permit? YesEa No ❑ (Check Appropriate Box) � Purpose of Building :P'ty1 rv2c:rL1 Utility Authorization No, Existing Service Amps Volts Overhead E] Undgrd El No. of Meters -�1 ew Servic Amps / Volts Overhead E] Undgrd El No, of Meters ►,. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e L,1,;r11,, ._ ,t ,,.,,:-- -, i= - '� s4- f/4 a.J Coin,lesion o the llowira. table nta1 be waived b the Ins, = for o Wires, ir6 ' No. of Cell.-Susp. (Paddle) Fans Transformera� A No. of Recessed Luminaires l No. of Luminaire Outlets No. of Hot Tubs Generators KVA ve _.__ ��. n `O."b ° it+�rge-tey L g No, of Luminaires Swimming Pool .rods ❑ 'rnd, 0 Battle . Unit No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones s o. o fection and of Switches Z No, of Gas Burners Initiating-Device _ _ _- �.�... _ .-.,. 1 U No. of Ranges No. of Air Cond. Tons No. of Alerting Devices ' - - - eat ' limp 'um 1=r onS liM i o.o -4?a i outs t y No. of Waste Disposers Totals: Detectiion/Alertia Devices • uni No. of Dishwashers Space/Area Heating KW Local 0 Con on - - tams: of De No. of Dryers :Heating Appliances KW No, vices or E i uivalent .0 ty No. of Water `o. o `o. o Data Wiring: Heaters Sys Ballasts No. of Devices or Equivalent •--..----� Telecommunications Wirthg: H dr om Bathtubs No. of Motors Total HP No„of Devi or Equivalent No, y assage - ---- OTHER: --� Attach additional detail if desireel or as required by the Inspector of Wires. Estimated Value of Electrical Work: :: r) (When required by municipal policy) Work to Start: 7 ,,.; -Z' Inspections to be requested in accordance with MEC Rule 10, and upon completion, INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfomaance 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 cove9ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑`f BOND 0 }OTHER Q (Specify:)u on this application true and complete. I cacti , under the pains and penalties oflser}ur}, that the Informy FIRM NAME: ` :rz !—Pc. --v- icc�.( So iu)-gip, i".e`�z LIC, NO.: 2/4 04j A Licensee: Pa fijv ku -L),,,,R43;2:0 Signature , _ LIC. NO.: '2-6 I G (If applicable, enter "exempt"in the license nu»aber line.) Bus. 1 el. No. . Address: S 4:, cs4-,,- ,11 .i ,A,.' f':; 3, �.:1- 14 e_ *Per M,G.L, c, 147, s, 57-61, security work requires Department of Public Safety "S" License: Lic. No. y OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally aired b law, By my signature below, I hereby waive this requirement. I am the (check one) owowner ❑ owner's agent , � y Owner/AgentTelephone No, �_ .. [PERMITf a Signature