HomeMy WebLinkAboutBLDE-24-1987 (2) al U Ont
Commonwealth of Massachusetts PermitNo.: 1-:"Offi ci _ 7
'' . lww; -f, Department of Fire Services Occupancy and Fee Checked:
.e 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
'A'a-�-' APPLICATION 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: 12/23/24
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): 918 6A Yarmouthport Unit No.:
Owner or Tenant: Petersons Market Email:
Owner's Address: Same Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No❑Permit No.:
Purpose of Building: Food Market Utility Authorization No.:
Existing Service: 600 A 3Ph Amps 125 /208 Volts Overhead E Underground❑ No.of Meters: 1
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Replaced a 42 circuit panel with a 42 space 60 circuit 200A MB.
Wiring of a heated air curtain at front door with disconnect
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: 1 KW:8,1 No.Water Heaters: KW: 8.1 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❑ No.of Devices:
Swimming Pool:In-Gmd.0 Above-Gmd.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: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System El No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 ❑ 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: 12/19/24 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Coleman Electric Inc A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: David Coleman LIC.No.: 17221
Journeyman Licensee: David Coleman LIC.No.: E29607
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 62 Fleetwood Path Marstons Mills Ma
Email: coelect@comcast.net Telephone No.: 508-364-8456
I certify,under the pains and penalti of perjury,tha th nformation on this application is true and complete.
Licensee: David Coleman i a...---4rrint Cell.No.: 508-364-8456
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 o ame to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify: i ta-73i tif../
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.: RECEIVD
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