HomeMy WebLinkAboutBLDE-23-004105 Commonwealth of Official Use Only
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Massachusetts
Permit No. BLDE-23-004105
'`�-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:1/25/2023
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) GREENOUGHS POND
Owner or Tenant CAPE COD COUNCIL OF B S A Telephone No.
Owner's Address 247 WILLOW ST, YARMOUTH PORT, MA 02675-1744
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 200 Amps Volts Overhead Il Undgrd 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd I l No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 0/H service to U/G. (MAUSHOP LODGE)
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: MARK L AVERY
Licensee: Mark L Avery Signature LIC.NO.: 13272
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: -
Address:77 AGNES RD, SOUTH DENNIS MA 026602814 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $80.00
eco.0vr r .3/ f z3 I
RECEIVED
-\ ommonwea d/9aseaclurael. Official Use Only >
1
a JAN 2 �`�-3-�lD
ff� C� Permit No.
=a i=; SLJ'(7 me o/5ire J ervicea
V f- • Occupancy and Fee Checked
30 DKEIFERRIERPI t NTION REGULATIONS [Rev. 1/07
j (leave blank)
By 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: 1/23/2023
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)227 Pine St Yarmouth Port, MA 02675-"Maushop Lodge"
Owner or Tenant Cape Cod&Islands Council,Boy Scouts of America Telephone No. (508)362-4322
Owner's Address 247 Willow St,Yarmouth Port,MA 02675
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Meeting/office Utility Authorization No. Pending
Existing Service 200 Amps 120 / 240 Volts Overhead ❑■ Undgrd❑ No.of Meters 1
New Service 200 Amps 120 / 240 Volts Overhead n Undgrd n No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Change service from overhead to underground,
new feed off padmount transformer
Completion of the followin&table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trr anan KVA
_
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above ❑ In- ❑ No.of Emergency Lighting
No.of Luminaires Swimming Pool
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.o
f AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices _
No.of Dishwashers Space/Area Heating KW Local❑ Municipal 1---1 Other
Connection
HeatingAppliances Security Systems:*
No.of Dryers pp Kai' No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start:2/15/2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE: INSURANCE ❑■ BOND ❑ OTHER El (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true an lete.
FIRM NAME: Mark L.Avery LIC.NO.:
Licensee: Mark L.Avery Signature C%::3 LIC.NO.:13272
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:5°8'896-8890
Address: 77 Agnes Road,S.Dennis MA 02660 Alt.Tel.No.:na9944)626
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ss-0o2294
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)El owner El owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $80.00
BOY SCOUTS OF AMERICA
4114"0 CAPE COD AND ISLANDS COUNCIL [ RECEIVED
A
JAN 2 3 2923
BUILDING DEPARTMENT
B Y ---�_
January 20, 2023
To Whom It May Concern:
Cape Cod & Islands Council, Inc. Boy Scouts of America has changed electrical contractors for
the Welcome & Education Center project at Camp Greenough effective January 20, 2023.
We will now be using Mark Avery, Inc. 77 Agnes Rd, South Dennis MA as our electrical con-
tractor.
77/ 0.4.j 44g,
Michael R. Riley
Scout Executive/Secretary
247 Willow Street
Yarmouth Port MA 02675-.1744
Phone (508)362-4322
Fax (508)362-4323
www.scoutscapecod.org Prepared. For Life."'
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II'I..IH4009f+00,d UM-rd../.ltlV'IX M 01•Nsul 411.M111W Illf•I I/Z02/Ct/iI'6 0NW soolastuouVeVO\,00-oi0(10t0AO
Elliott, Ken
From: Mark Avery <mark@markaveryinc.com>
Sent: Thursday, October 5, 2023 1:11 PM
To: Elliott, Ken
Subject: Electrical Inspection
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.
ry Otherwise delete this email.
Hi Ken,
Eversource is looking to d a disconnect/reconn ct at the scout camp and I am inquiring if it is possible to schedule you
for a service inspection (3) or 10/26/2023 (any t me).
Eversource Work Order: 1201 19
Thank you,
Mark Avery
President
Mark Avery Inc. cP1---4/
77 Agnes Road • S. Dennis, MA 02660 J
• (508) 896-8890 �/ 1.
mark(almarkavervinc.com /�
www.markavervinc.com /'1 l
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