The URL can be used to link to this page

Home My WebLink AboutBLDE-23-19356 Expired 8/17/23,3:00 PM about:blank Commonwealth of Massachusetts o VA *7U1Town of Yarmouth ,�, � 0 H ELECTRICAL PERMIT �` �' Job Address: 822 ROUTE 28 Unit: Owner Name: Chris Wise Owner's Address: 822 ROUTE 28 Phone: 508-237-1020 Email: cwise@wiseliving.com Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19356 Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Install 120 combo smoke/co Detectors No.of Receptacle Outlets: No.of Switches: 3 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 IN No.of Devices: 124 Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub Cl No.of Self-Contained Detection/Alerting Devices: 124 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 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 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $65,000 Work to Start: August 16, 2023 FIRM NAME: License Number: 8327A1 Master/System and/or Journeyman Licensee: CC-Teknologies Inc. License Number: 205669 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: SS-002830 Address: 19 Memorial Drive Avon MA 02322 Fee Paid: $115.00 Email: service@cc-tek.net Business Telephone: 508-444-8810 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: pc-ell-72U LI LI ligMF)1:1 RIED c/)7/ 1. about:blank 1/1 g d 17f*elejte15116(--. Cmmaeaoeat of/t7a4s0040eette Official Use Only 2cc77 /`J Permit No. epartmeni'Pint Service! iF,$ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION 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 INFORMATION) Date: 3) j's-3 City or Town of: Sri UT, ygoz r eu,r/ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described bell�onw. Location(Street&Number) t(2,Z R.r a. 5, y/A V mc,c . Owner or Tenant ('f/f�SS tA1SS, Telephone No. 5-0B—t Le ii.-$5'/0 Owner's Address '22 Q'r 2$ / Snr.t?H YPA re,c.rrif /r// .'z 6Ey Is this permit in conjunction with a building permit? Yea Er No ❑ (Check Appropriate Box) F arpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: SN k.4 a 1.2-O <-r,r+&O SYl oil Fs- {Z 'lAI NAG d-SGG ?o AI,L4., G t.ii i . v, Completion of the followingtable may be waived by the Inspector of Wires. %.' No.of Total lb No.of Recessed Luminaires No.of Cef.Susp.(Paddle)Fans Transformers KVA C, No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting d- No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units `� No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 4 No.of Switches No.of Gas Burners No.of Detection Devanices - rirA FInitiating -{ [—r II' No.of Ranges No.of Air Cond. Total No.of Alerting Devicesg Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: ._--__..._-..---.........._........ Detection/Alerting Devices , 'f No.of Dishwashers Space/Area Heating KW Local❑Connection unicipal ❑otherNo.of Dryers Heating Appliances KW Security yyDeevics:* s or Equivalent `o.o Mister No.of No.of Data Wiring: Heaters KW Signs Data llo.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lectrical Work: Co 5 c,•c- (When required by municipal policy.) Work to Start: Inspectionstto be requested in accordance with MEC Rule 10,and upon completion. IP"SURA.NCE C RAGE: 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 0 BOND 0 OTHER❑(Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: Cl C—Te(41,,OLc" -I LDS LIC.NO.: grfsa—E Licensee: 5c) /f rto/G[r.t) Signature LIC.NO.: 5/127,41 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.. 5-08 Y'V t(2'S 1 a Address: i 9 piaErr o'.C.-7Ai D/f iii71 .414nA., /tom ,2,3Q,2 Alt.TeL No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. S S—O,9'i "So OWNER'S INSURANCE WAIVER: I ant 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)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No. __ The Commonwealth of Massachusetts Department of Industrial Accidents �1= 1 Congress Street, Suite 100 kr.m g; t Boston, MA 02114-2017 ' T .,`'y www.mass.gov/dia IMP Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: Type of project(required): LE I am a employer with employees(full and/or part-time).* 7. E New construction 2.E I am a sole proprietor or partnership and have no employees working for me in 8. E Remodeling any capacity.[No workers'comp. insurance required.] 3.E I am a homeowner doing all work myself.[No workers'comp.insurance required.]t g ❑ Demolition 4.E I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 E Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.E Electrical repairs or additions proprietors with no employees. 12.E Plumbing repairs or additions 5.E I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.0 Roof repairs These sub-contractors have employees and have workers'comp. insurance.: 6.E We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and stofr whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 andlor one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct SiQnature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. EIectrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Elliott, Ken From: +1 617-331 -8551 < +16173318551 > Sent: Friday, January 12, 2024 1 :50 PM To: Elliott, Ken Subject: Voice Mail (19 seconds) Attachments: audio.mp3 Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Hey, Ken, how are you? This is Jim Hughes. Could you give me a call, I think they, I t"ink wise those you another permit and i wanna make sure you have it and go over it with you 617-512-9401 . OK:'��Thanks. You received r>, yoke mail from +16173318551. -� Thank you for using Transcription! If you don't see a transcript above, it's because the audio quality was not clear enough to transcribe. Set Up Voice Mail 1