HomeMy WebLinkAboutBLDE-23-19493 expired :/14/23,7:06 AM about:blank
Commonwealth of Massachusetts =oF • y4
* Town of Yarmouth '
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0 -IELECTRICAL PERMIT .,
Job Address: 822 ROUTE 28 Unit:
Owner Name: MACLYN LLC
Owner's Address: 822 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19493
Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Feeder to septic system &feeder to elevator system.
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❑ 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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: September 14, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JESSE R LING License Number: 15646
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST CHATHAM, MA, 026691200 WEST CHATHAM MA
026691200 Fee Paid: $100.00
Email: rewire@comcast.net Business Telephone: 508-400-223
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
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P. =` --t Pero ��-�t No. C'[ .
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- -_i i! DING DEPARTMENT Occupancy and Fee Checked
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be oerfo:med in acco*Wince wit., e Massach serfs Eleot-icai Cod:(NEC),527 CMR 12-00
(PEASE PRINT r INK OR TYPE ALL INr ORJATTON, Date: ' t— l 2` 7%-3
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the Irindersianed gives notice of his or her iotendon to perform the electrical work described below.
Location(Street S.:Number) E 7..fig �tC '7`[j
Owner-or Tenant U.) 15 Q-- Lk J i J`C e> Telephone No. ��cc��
Owner's Address a m x 7 €35 b. F'1Z 4.r�� v6Ik 0 � i a
Is this permit in conjunction with a buLding permit? Yes Li No Zi. (Check Appropriate Box)
Purpose of BuiIdiztg A.66.et . L-1(/ 11•4:.C.� Utility Authorization No. VA
Existing Service' )' 4X)Amps 11,0 I Ui3Volts Overhead '_; Undgrd 11u No. of Meters _i_
New Service I`-y/1 Amps / Volts Overhead Li Undgrd 1 I No. of Meters
Number of Feeders and Ampacity 560 t L G- y(. 7 ..4,
Location and Nature of Proposed Elect-ical Work: I lI-t-SZA Qc.)
3 c5. �,4.-rk,4)-( _CO(-- C-,et.wz 1 i S Z k:cio1\ s?Z t C.1 ( CZ10 `L
(a O N I'-k-f) W.-1%L --r 0 t,eg_tcli.e.tion of the fallowing table rrs y be waived by the Irsoector of Si yes.
No.of Total
1No.of Rec Lum
inaires Luminaes No.of Cei1 Susp.(Paddle)Fans !Transformers
o.of Lumirmire Onelets INo.of Hot Tubs I Generators
y No.o -1;.'naares Swimming Pool Above J In- — I lvo.of y:mera Lignemg
=rnd, srnd, (Battery u
2 No.of Receptacle • - ,.ts No.of OE Burners ALARMS INo.of Zones
No.of Switches '•.of Gas Burners o.of Detection and
Initiatin_Devices
` No.of Ranges No. of Air . - T6 s No.of Alerting Devices
Heat Pump :Number ►'-• KW (No.of Self-Contained
No.of Waste Disposers Totals: I !Detection/Alertia?Devices
0j, No.of Dishwashers ISpaceLArea : sting KW' LJ' Conne�ct<oln er
1� 1 pea'.- Appliances KW ISecurt stems:`
�/ No.of Dryers I � I No.of cgs or Equivalent
No.of Water • of No. of Data' Wiring
Heaters KW Ballasts
Sims No.of Devices or Equivalent
I I 'Telecommanications Wiring:
1 No.Hydromassage Bathtubs No.of Motors Total HP
I No.of Devices or Equivalent
OTHER:
-Q)
pr-- Attach aririitional derail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: l DO (When required by municipal policy)
Work to Start:et--i0— e.,3 Inspections to be requested in accort?ance with lvMEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
l the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
jundersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE (g BOND ❑ OTHER ❑ (Specify:)
2 I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: i co lE ec.`LQ - .f t..k_ii. A LIC.NO.: I� C({y
Licensee: - I.�l (0 Signature ;�� <� / LIC.NO.-- 3' `
(If applicabl er.Q empt"in the license.^tuber line.) t _ �06 Bus.Tel.No.: 56 400-A. ,3'
Address tZ0D VJ N�'t{'�R At O 2'` Alt.Tel.No.: f_ .4 A 3
t .Per M.G.L.c. 147, s.c 7-01,security work requirest l
Deparent 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
5 required by law. By my signature below, I hereby waive this requirement I am the(check one) ❑ owner ❑owner's agent.
Owner/Agent
01 Signature Telephone No. I PERMIT FEE: $