HomeMy WebLinkAboutBLDE-23-15925 5/24/23,6: 2 AM about:blank
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ELECTRICAL PERMIT ��
Job Address: 50 LONG POND DR Unit:
Owner Name: DUMONT PROPERTIES LLC
Owner's Address: 642 MINGO LOOP RD Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15925
Existing Service Amps/Volts Overhead 0 Underground❑ M'Q f Meters:
New Service Amps/Volts Overhead 0 Underground 0 -rs:,
Description of Proposed Electrical Installation: Rewire/Re-Build following fire. ((Gym) .
e
No.of Receptacle Outlets: 22 No.of Switches: 8 Generator KW Rating: Type:`..) /`�
No. Luminaires: 11 No.of Recessed Luminaires: No.Wind Generators: Wind KW Ratinj 1 O , 11
No.Appliances: KW: No.Water Heaters: KW: - No.Transformers: Total KVA: 4N)f.,,N
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: 1 Total KW: Total Tons: 1.5 Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.El Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: 1 Total Tons: 0.75 - 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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: May 15, 2023
FIRM NAME: Allied Systems Technologies, Inc License Number:
Master/System and/or Journeyman Licensee: ROBERT P COLEMAN License Number: 17527
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 15 Jan Sebastian Drive Sandwich MA 02563
Email: kcoleman@alliedsystemstech.com Business Telephone: 5087716744
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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- Com • wealth of Massachusetts [�2 ofFeial�jae Op I1ly
Permit No.: 5 2)5
I yi Utk=N.Y 2 2 2023D p.rtment of Fire Services Occupancy and Fee Checked:
E _:n! BOARD E PREVENTION REGULATIONS [Rev.1/2023]
i. -11 0046..DE pAK E
• - • - ' • -- •N FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of:_YARMOUTH ' Date:
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): 515�../•.vMG PUN ]l fZ Unit No.: 3
Owner or Tenant:wMo� �ITTY I viT Email: In 4 0 ool s q..nJ.•co rtn
Owner's Address: 4d'e /1't,_), Loor r2.1 /2.c Jr PE 01g7o PhoneNo.: 7y-t36-55og-
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: CeN)Mti'72-cIAL Utility Authorization No.:
Existing Service: -10 o Amps I s•/s.r.Volts Overhead®-Underground❑ No.of Meters: 3
New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters:_
Description of Proposed Electrical Installation: Pow tz-/ i.t Gal-r'N< FrT v P Fo e.
Te::-isr"-N+ c f7A-t a , N;t✓ P,a ni a'L
Completion of the following table may be waived by the Inspector of Wires.
No.of Acceptable Outlets: 2 y No.of Switches: g Generator KW Rating: Type:
No.Luminaires: i v-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: i Total KW: 1,f Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grad.❑ Above-Grad.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: 3/.f Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level I 0 Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: S'1-7-5 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 411,•<d Srt[ev.c 1.4c111.oIe544-1 A-1ITtorC-1❑LIC.No.: 417r27
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: f Cw.-. G 6-n+..� LIC.No.: /yo 4`4 B
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: IS- ia.. 5.4e.s1s-. A- U.,,t h.1 S—d0..1— N1R e- e-3
Email: Ik-co LA,...-e a lk'.e L s.a'Z'ttwt+e L. _cp qv-. Telephone No.: 5 J&-7 7 1-L 7`/7
I cert0,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: (C`v-- ((-1..,,,n Print Name: 160+:7", GCe..-t-.-. Cell.No.: 5°4'32-4`712-L
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
. provides proof of liability 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 k'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.: