HomeMy WebLinkAboutBLDE-23-15924 5/24/23,6:25 AM about:blank
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Town of Yarmouth 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-23-15924
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Rewire/re-build following fire. (End Unit)
No.of Receptacle Outlets: 32 No.of Switches: 20 Generator KW Rating: Type:
No.Luminaires: 26 No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: 2 KW: 4 No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: 2 Total KW: Total Tons: 1 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: 2 Total Tons: 1 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: Kevin Colman 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: 508-771-6744
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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Official Use Only
i '.. • , cammonweah o`y�/adatw.NA Permit No.
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' - • ATION 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 INFORMA77ON) Date: 0 S - t S-?A 1-3
City or Town of: '/A?-A p U r)•( To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Locadon(Street&Number) 0 1-0 iG Pot-'• 1>2
Owner or Tenant 1]UM o N 1 .D ord A-t..D A T 2v ST Telephone No. ")71-fi 36-SW
Owner's Address ( 1.- /1 t.ti» Loop i2 12ANc.azei t'l 6 O'(S 7o
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building (ZETA[t_ Utility Authorization No.
Existing Service '/oo Amps 17,v/ boa Volts Overhead® Undgrd❑ No.of Meters 3
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: I IT ✓p . Qc- e,s/ c-I A.a Ti t Ai Z
\C.o.)AN"I Sf.src:S/ Na.,.) PANCLS 0r3 f tSTtr1- F✓ ]fir-YYS
Zol Completion of the following table may be waived by the Inspector of Wires.
U) No.of Recessed Luminaires No.of Cel1.-Susp.(Paddle)Fans No.Tranof Tsformer KVAVA
G1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA
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No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
IA, gird. gird. Battery Units
No.of Receptacle Outlets 3 y No.of Oil Burners FIRE ALARMS No.of Zones
Z No.of Switches 2Q No.of Gas Burners No.of Detection and
� Initfatin¢Devices
Ili No.of Ranges No.of Air Cond. 2. Tons I No.of Alerting Devices
No.of Waste Disposers Totals:
Pump Number Tons KW No.of Self-Contained
Totals: y .......`."`..i................_........ Detection/Aler'tin Devlces
No.of Dishwashers Space/Area Heating KW Local 0 Co mn)cipectlon ai ❑Other
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No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters Z KW Signs Ballasts 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: 0147,3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no pemnt 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 Z BOND ❑ OTHER❑ (Specify:)
I certify,under the pains and penalties of pedary,that the information on this application is true and complete.
FIRM NAME:A L-ln,t Si mfr. e S -r r ti„/o t.O( i ES LIC.NO.: .k l'7$c 7
Licensee: , r/..,,,,( Signature �- -- LIC.NO.: I.401 yrS
(If applicable.enter"exempt"in the license number line.) Bus.Tel.No.-Sds-771-I.i 5 l
Address: iSV., Li,w..h... Vr 5ae.15r Sc-dJ.cL NIA ocChl Alt.Tel.No.:
*Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$