HomeMy WebLinkAboutBLDE-23-15998 (2) 6/6/23,6:57AM about:blank
Commonwealth of Massachusetts o -
Town of Yarmouth
ELECTRICAL PERMIT Ais,
Job Address: 411 ROUTE 6A Unit:
Owner Name: 411 MAIN LLC
Owner's Address: 73 GLOVER DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15998
Existing Service Amps/Volts Overhead D Underground D No.of Meters:
New Service Amps/Volts Overhead D Underground D No.of Meters:
Description of Proposed Electrical Installation: Mini split system replacement(Building#4)
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 D No.of Devices:
Swimming Pool: In-Grnd.D Above-Grnd.D Hot Tub D No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System D No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System D No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount D Ground-Mount D Level 1 D Level 2 D Level 3 D Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH W SILVA License Number: 9147
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SANDWICH, MA, 025632761 SANDWICH MA 025632761 Fee Paid: $50.00
Email: silvaelectric52@gmail.com Business Telephone: 508-428-9080
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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�e a -'epartmext al1ire�sro t Permit No. �23 j S
' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee(:bucked
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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 WINKOR TYPE ALL INFORMATION) Date: 3) 2-3
City or Town of: ft 741 To the Inspector of Wires:
By this application the undersigned bives notice of his or her intention to perform the electrical work described below.
c Location(Street&Number) '�-f N
I 0141 'J ftI /1
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Owner or Tenant (YH i C 4C* L-
d
Owner's Address -7 6 cove,-- bitcc-talk 7c. I414 Telephone Nv`�j- G�p-Z!vim
E Is this permit in conjunction with a building permit? Yes ❑ No a--(Check Appropriate Box)
01 Purpose of BnBuildingC/� ,91).<-6
Utility Authorization Na
Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters It)
j New Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters- ----- - ------- --
Number of Feeders and Ampacity
4 Location and Nature of Prop
osed Electrical Work: 44//.4,1„- AItd.„/ yd-Ji..!I sail...,T
dcJS,„1-- 4,c,riP-'f &jiK...f Fe ,-1 au1, 55i5r7
Completion ofthe followiutabk maybe waived by the Inspector of Wires.
Na of Recessed Luminaires Na of Ce�7.-Susp.(Paddle)pans Na of Total
In Transformers KVA
No.of Luminaire Outlets No.of Hot Tabs Generators KVA
Above rn In- ❑ No.ofEmergency Lighting
No.of Luminaires Swimming Pool
�;rnd, trod. Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS jNo.of Zones
Na of Switches No.of Gas Burners O.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices
Na of Waste Disposers Heat Pump Number I Tons KW No.of Self-Contained
Totals:I .Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ ZiotilciPPIn ❑ Other
No.of Dryers Heating Appliances KW Security ems-*
No.of Water K1�► Na of No.of Data a of or Equivalent
Wiring:
Heaters Signs Ballasts No.of Devices or , ' :lent
Na Hydromassage Bathtubs Na of Motors Total HP Telecommunications Z i,_.
Na of Devices or Eq,' ; t
OTHER:
Attach additional detail ifdesire4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 30—2 3 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
CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) L.O/4/yl.E•ZCA �s
under the _
l cer4 pains and penalties ofpe perjury,that the information on this application is true and complete.
FIRM NAME: S IL,V/4. E.Lc r�G. LIC.Novi-?/(747
Licensee: .. bSEpit t'! C/Z-.VA- Signa LIC.NO:.4Z4G`f
(If applicable,enter"exempt"in the license rwmber line) — Bus.TeL No.'0 r-`f±•E.'9'�A
Address:<54 3Ov?.# I-t9-y gl, & .t9n"U � oZ�4 Alt:Tel.Na: Tr.-- `f-93/
*Per M.G.L.c.147,s.57-61,security work requires Department 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
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
Signature Telephone No. 1 PERDIIT FEE:$