Loading...
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: $45.00 Email: Business Telephone: INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: RI kr CA- ece4 about:blank 1/1 [ RECEIVED MAR 2 9 2024 6 0/Museac aaatto Official Use Only o •nwaa � E Z �,.,._•r•;,ING De.PARTMEN �7 Permit No. ��L"C�ZJ a: '' _.---1 ,• nl of.tin�inricta b ` Occupancy and Fee Checked t.9 �1 BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK t, All work to be performed in accordance with the Massachusetts Electrical Code( EC),5z7 CMR 12.00 (PLEASE PRINT IN INK OR TYP. ALL INFORMATION) Date: -5 L# 4 City or Town of: \/l (i_ 23"MA tit� To the Inspector of Wires: IA By this application the undersigned gives notice of his or her intention to perfo the electrical work described below. a Location(Street&Number) 0 (1 N rk N4(. .--e t N a' 1)Mu5 k Owner or Tenant 5 c a-r 1' (2c 4tt— Telephone No. C/'7-Z$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: $Z 1 C.)O (When required by municipal policy.) Work to Start: z. '- 7- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE❑ BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information this application is true and complete. FIRM NAME: Ug1'5t"-tlIt.L`, 4Jt(<( ANi) U IRfi t7� LIC.NO.: Licensee: N/a Signatures LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. Address: Alt.Tel.No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$