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Home My WebLink AboutBLDE-23-004526 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004526 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.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:2/14/2023 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) 2 CHANNEL POINT DR Owner or Tenant CHANNEL POINT LLC Telephone No. Owner's Address 17 CAPE DR UNIT 2,MASHPEE,MA 02649 Is this permit in conjunction with a building permit? Yes❑ No ❑ (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install septic alarm in new garage. 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 grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained 1 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 Slims 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: Jonathan R Hall Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD,MARSTONS MILLS MA 02648 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 t�,,e n Telephone No. PERMIT FEE:S50.00 —c�110/23 @ca) VI W\ c , 0 n aa`` y� f-I qq Commonwaallh of rI/addachWaffe /�/ fficciial Use 1Only�/ .71.1 4?0L3 ccyy�� `��''77 [[�� Permit No'.�ZJ't�L1tO ..L.1 parimani%giro Jarvicee .,1,1'DEY RTMENT Occupancy and Fee Checked g t i. ___ OAR IRE PREVENTION REGULATIONS {Rev.1/07] (leave blank) w _ - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I`i 12 City or Town of: YARMOUTH To the Inspecto of Wires: By this application the undersigned gives notice�if r'V1 of his or h intention to perform the electrical work described below. {' Location(Street&Number) � l e I 1(72 i lid Owner or Tenant µNA C Telephone No. Owner's Address CA a a'Ve rO tvJ�' � Is this permit In conjunction with a building permit? Yes ElE No (Check Appropriate Box) Purpose of Building 2QS Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead E Undgrd❑ No.of Meters Number of Feeders and Ampacity 3e ') M ," Location and Nature of Proposed Electrical Work: y,A nf,t"y rF a} Completion of the following_tab/e may be waived by the Inspector of Wires. U: No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tons Total Transformers KVA c..t No.of Luminaire Outlets No.of Hot Tubs Generators KVA .I• No.of Luminaires Swimming Pool Above In- 0No.of Emergency Lighting grad. 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 `' Na.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals:) .... .... .....`...............__.f..........._.. I II � Detection/AlerttngDev(ces No.of Dishwashers Space/Area Heating KW Local 0 Municipalction Other No.of Dryers Heating Appliances KW SecuNa o Connef Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Na.Hydromassage Bathtubs No.of Motors Total HP 'telecommunications Wirin : No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: -70 U (When required by municipal policy.) Work to Start: „II it{b 3 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 0 BOND❑ OTHER❑ (Specify:) I certify,under the pains and penalties of perjury,that_the Information on this application is true and complete. FIRM NAME: )0ha � !de11 (2/ 3'af,S, LIC.NO.: Licensee: )-"ese exempt"in C I Signature�� Tel. NO.: t lq Z T-!? (If goplicable,a ter'esempt"in the licensei�� nu er line _91G L('Bus.Tel.No.• e Address: rj Q. (a,IPte17 ir)dt'1 (l(AI S t)Ylii Alt.Tel.No.:3dr! MO'S713 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety'"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$