HomeMy WebLinkAboutBLDE-24-523 4/2/24,6:29 AM about:blank
Commonwealth of Massachusetts off , , .
* Town of Yarmouth0�
° O :e y
ELECTRICAL PERMIT
Job Address: 30 CHANNEL POINT DR Unit:
Owner Name: THIRTY CHANNEL POINT LLC
Owner's Address: 52 WILLIAMS RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-523
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Cat 6, Coax, &Speaker wiring
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 0 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: $ 2,000 Work to Start: April 1, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: License Number:
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Fee Paid: $45.00
Email: Business Telephone:
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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[ RECEIVED
MAR 2 9 2024 6 0/Museac aaatto Official Use Only
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�,.,._•r•;,ING De.PARTMEN �7 Permit No. ��L"C�ZJ
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` Occupancy and Fee Checked
t.9 �1 BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank)
1
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
t, All work to be performed in accordance with the Massachusetts Electrical Code( EC),5z7 CMR 12.00
(PLEASE PRINT IN INK OR TYP. ALL INFORMATION) Date: -5 L#
4 City or Town of: \/l (i_ 23"MA tit� To the Inspector of Wires:
IA By this application the undersigned gives notice of his or her intention to perfo the electrical work described below.
a Location(Street&Number) 0 (1 N rk N4(. .--e t N a' 1)Mu5
k Owner or Tenant 5 c a-r 1' (2c 4tt— Telephone No. C/'7-Z$S-' l V'
3 Owner's Address
3 Is this permit in con anctlon with a building permit? Yes ❑ No,Tr (Check Appropriate Box)
Purpose of Building f.,i 1)ci A)'CI A L- Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
6 New Service Amps / Vohs Overhead❑ Undgrd❑ No.of Meters
1 Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: Low -V O-c J}GCL t NLL1 LCtf T(e t CO AY.,
C.0' SC5AV.'z1- LA)1M1F)
Completion of the followingtable may be waived by the lnsvector of Wires.
TrTransformersVA
tal
ti j No.of Recessed Luminaires No.of Ceil.-SusP.(Paddle)Fans No. f IC KVA
t No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
Above In- No.of Emergency Lighting
k No.of Luminaires Swimming Pool grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
and
Z No.of Switches No.of Gas Burners No.initiatingn ofDetetlon g Devices
Ill No.of Ranges No.of Air Cond. Tod No.of Alerting Devices
r Heat Pump Number..Tons, ..KW No.of Self-Contained
No.of Waste Dispose Totals: Detection/AlertingDev ces
Munkd
No.of Dishwashers Space/Area Heating KW Local 0 Cyostoenecflon �Other
No.of Dryers Heating Appliances KW SecuNo. f Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
unications Wiring:
No.Hydromassage Bathtubs No.of Motorscomm
Total HP Tel No.of Devices or Equivalent
OTHER: L \L ix?i 6.5✓Kew iv(c f)-tu,'-) in)Liu bJL• f9Nt-1
Attach additional detail iifdesired,or as required by the Inspector of Wires.
Estimated Value of lec al Work: $Z 1 C.)O (When required by municipal policy.)
Work to Start: z. '- 7- Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE❑ BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information this application is true and complete.
FIRM NAME: Ug1'5t"-tlIt.L`, 4Jt(<( ANi) U IRfi t7� LIC.NO.:
Licensee: N/a Signatures LIC.NO.:
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No..
Address: Alt.Tel.No.:
*Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$