HomeMy WebLinkAboutBLDE-24-866 5/31/24,6:38AM about:blank
"� Commonwealth of Massachusetts OF • YAK
* Town of Yarmouth
ELECTRICAL PERMIT � .- � '
Job Address: 257 STATION AVE Unit:
Owner Name: MAJESTIC BLUE OF CAPE COD LLC
Owner's Address: 71 STATION AVE Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-866
Existing Service Amps/Volts Overhead El Underground ❑ No. of Meters:
New Service Amps/Volts Overhead El Underground El No. of Meters:
Description of Proposed Electrical Installation: Change receptacles that are within 6'of water source to GFCI, Install 30 amp
dryer receptacle, Install 6 circuit generator panel for portable generator, & blank off receptacles over electric baseboard heaters.
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 El 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 El No.of Devices:
No.Air Conditioners: Total Tons: Telecom System El 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❑ Ground-Mount❑ Level 1 ❑ Level 2 El Level 3 El Rating:
Estimated Value of Electrical Work: $ 3,500 Work to Start: May 30, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOHN B RAIMO License Number: 18352
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Dennis, MA, 026735009 Dennis MA 026735009 Fee Paid (6UL�'
Email: raimoelectric@yahoo.com Business Telephone: 508-725-7259
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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Commonwealth of Massachusetts O -may"6:2
_,t__._ Permit No.:
► Department of Fire Services Occupancy and Fee Checked:
-aril BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 52 CM 12.00
City or Town of: YARMOUTH_ • Date: � 'Jo�ay
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): as- S k-c.cj- ' fr4cci� Unit No.:
Owner or Tenant: Sf c C -(- Fok 1 - A \cC f.e.s Email: �-{4 p N.//S J otks� 'tc '-s
Owner's Address: Phone No.: 5DV SOO. G d�2•'c`"`'
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑ Permit No.:
Purpose of Building: (")c-ic--L.(L. Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground` CI No.of Meters:
Description of Proposed Electrical Installation: tis, L( C f /
C-t- v 402-e --Liz $ t.t.) '` k
t 4 {-'t G Sty S f 9 (r�.ca i,N) S c,LCJ C trz C)C C9-$ �I�cQa tk u�C4�-"�s
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: 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❑ 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 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❑ Level 1 0 Level 2❑ Level 3❑ Rating:
OTHER: 't--- v,S,k al. 6 C ✓ c. Co_e.ue.yo--IS.t'T 0-L-4.-..
, its k--c(,t '3Ovt, C (s,d-(- t U r__ cc-v A,, --Bc.. ,
Attach additional detail if desired, or as re uired by the Inspector of Wires.
Estimated Value of Elec ical ork: -39)V (When required by municipal policy)
Date Work to Start: � 3d �a-4 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: l W,.cnv:7- f Aaciv ( C... L G A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: -dLt2 -. (G,...LA.. LIC.No.: K17'.'? S . ....
Journeyman Licensee: N.J cxr' j U,C...., LIC.No.: E 5 ( (9-S
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: N-)- v\4 -1 Co M•--J U -' - l C i1- CQ V-
Email: C `1M1-A-tt. C Gc._ d y4.i,‘._c.)tJ t C dY`t Telephone No.: S a- 7 as 7 S 7
I certify,a de tl • penalties of perjury,that the in ormation on this a lication is true and complete.
��j pp�� r ,
Licensee: Print Name: ` �1., (J 'l `C.0 Cum Cell.No.: S(. sz-
INSURA COVERAGE: nless 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❑ BOND❑ OTHER El 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 El Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.: