HomeMy WebLinkAboutBLDE-23-18942 6/16/23,6:00 AM about:blank
a
,,,,..
Commonwealth of Massachusetts Y.41
*kt.400/1 Town of Yarmouth °
°
ELECTRICAL PERMIT
ro
Job Address: 13 NICHOLAS DR Unit:
Owner Name: PECORARO BRIAN F PECORARO RENE M
Owner's Address: 13 NICHOLAS DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18942
Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Replace damaged GFCI receptacle
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-Grnd.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: June 16, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WAYNE B SCHMIDT License Number: 33699
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTONS MLS, MA, 026481929 MARSTONS MLS MA
026481929 Fee Paid: $50.00
Email:Wayneschmidtelectrician@yahoo.com Business Telephone: 508-428-7747
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.
(e244t--
A 141;7 in
1/1
about:blank
C
o 4 37, 7
•
ilkCommonwealth of Massachusetts fficial Use Only
_` .„ Permit No.: Z3— •Department of Fire Services Occupancy and Fee Checked:
i- ;'I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1n023] •
'—"'' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in aceordance.with the Massachusetts Electrical Code(MEC) 7 cR 1 0
City or Town of: ` YARMOUTH • Date:
To the Inspector of Wires:By this a plication,the undersigned gives notices of his or her intention to perform the electrical work described below.
• Location(Street& mber): I "l " dnit No.:
Owner or Tenant: .- j t&lam`.. • Email:
771/ —
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No ermit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground❑ No.of Meters: •
. New Service: Amps / Volts Overhead 0 Underground` gr 0 No.of Meters:
Description of Proposed Electrical Installation:
Completion of the following table may be waived by the inspector of Wires.
•
No.of Receptable 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:
NSpace Heating KW: Healing Equipment KW: No:Motors: Total HP: Total KW:
o.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grad.0 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 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: SecuritySystem y stem
0 No.of-Devices,
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipii4ttc U;, tz I V
No.of Modules: Roof-Mount 0 Ground-Mount
Level 1 0 Level ❑ Level. 3(] ng;'° ____
-- _ ___ JUN 15 2023
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: N __ d_
U.ILDI G jEPARTME=NT
Date Work to Start: (When required by tcpal�ohcy)__ _____ .
Inspec ions to be requested in accordance with MEC Ru e ,and upon completion.
FIRM NAME: A'- Sr lr l`/yt i -• ' r t r 'a -1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: �-1
` _ _ LIC.No.:
Journeyman Licensee: �/ , ,�
t ` b. _c.,,v..vVl,`k LIC.No.: a`3 6- qq
Security S ste sines requir a Division of upational Licensure"S"LTC. S-LIC.No.:'(,� r �`
Address l` Iyi . d I �tr
Emai l' J •�
i Telephone No.: 05 j Zg Ct `/
I certify, der t e pain nd penalties f perjury,that the information on this application is true and complete.
Licensee: i Print Name: WM Ne. SC,"
~_ ' r
INSURANCE COV GE:Unless waived by the owner,no permit for the performance eoofelectrical work mayissue unless nsstJ 7✓24 7/
. provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that ch coverage
is in force and has exhibited proof s e to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER.0 Specify:
OWNER'S INSURANCE R: I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By my sig tura ow,I hereby waive this requirement.I am the:(Chet nc) ner 0 Owner's agent❑
Owner./Agent F_
Signature: Tel.No.:
•
Email.: