HomeMy WebLinkAboutBLDE-23-15973 6/2/23,5:49 AM about:blank
Commonwealth of Massachusetts c -Yd.,
Town of Yarmouth � c
O
ELEC
TRICAL PERMIT Az, deJob Address: 261 SOUTH SEA AVE Unit:
Owner Name: PADDEN JOHN P TRS PADDEN ELIZABETH A
Owner's Address: 36 HUMMINGBIRD DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15973
Existing Service Amps I Volts Overhead 0 Underground 0 No.of Meters:
New Service Amps I Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Central air 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 0 No.of Devices:
Swimming Pool: ln-Grnd.0 Above-Gmd.0 Hot Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 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 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: May 30, 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: 508-364-9311
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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R E C-�� 0/1Namachuadis Official Use o„h►
AUN 01 2.923 Permit No. 3 3
'' 1 v . _RT m EN and Fee Checked
err „u\i_ A UE .:. ' REVENTION REGULATIONS [Rev.1/071 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CUR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5-1 3 o-Z3
•
City or Town of: Ni,0 o1f (' To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
C Location(Street&Number)eq.(,/ go 0 i/J �,C-A4 14 t)j
8 Owner or Tenant ,gE/Z4 d5 i g R417 a ' Telephone No.
4. Owner's Address P-A-11.
t Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box)
Cl Purpose of Building /2 -St 0 c,`I1 4 - Utility Authorization No.
4 Existing Service J Amps / Volts Overhead 0 Undgrd❑ No.of Meters
kiNew Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters_
4 Number of Feeders and Ampacity
1-
4 Location and Nature of Proposed Electrical Work: i4. N (f,f/ -4C AI tZ S'yg-TE,1
Completion ofthe,tollowingtable may be waived by the Inspector of Wires.~
4. No.of Recessed Luminaires No.of CelL-Snsp.(Paddle)Fans TransformersTotal o
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
c
Swimming Pool Above ❑ In- ❑ oft me ncy Luting
Na of Luminaires grand. grad. tteryU
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Air Cond. Ton No.of Alerting Devices
No.of Ranges Toes
_ Heat Pump Number Tons KW No.of,Self.0
No.of Waste Disposers Totals:
Na of Dishwashers Space/Area KW sOther
`Local❑ C°nneMerting n Devi❑
teps.*
NaSecurity %n ofDryers Heating Appliances KW Na of Devices or Equivalent
No.of Water KW Naof ers Balers Data
of Devices vices or ' lent
Telecommunications
_No.of Motors_ _ Total HT ___ - _ t -
OTHER:
Attach additional detail ff deaire4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start:5'3t2 Z 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 co e is in force,and has exhibited proof of same to the pexmnitissuing --
CHECK ONE: INSURANCE [�OND ❑ OTHER 0 (Specify=) L�OMf�=moo . S w" g'
I ceertify,under the pains and penalties ofperjury,that the information on this application is true and cones
FIRM NAME: ..501L41+ £LEG(mac-- LIC.No.:A`f g?.
Licensee: .'>S>Lfo/t tr-1 /4 ✓.e- Signs LIC.NO.:,‘Zf4$4'
Of applicable,enter"exempt"in the license number line. Bus.Tel.No. �'`FZ'e'-96'fc
Address:< �'J W AO ' '`'n`cl " °7-5-A' Alt Tel.Na• •--a.3/i
*Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee cis not have the liability insurance coverage normally
inquired by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner ❑owner's agent.
Owner/Agent Signature Telephone Na PERMIT FBI':$