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HomeMy WebLinkAboutBLDE-23-19249 7/28/23,6:18 AM about:blank Commonwealth of Massachusetts mogY °4. * Town of Yarmouth O rya ELECTRICAL PERMIT Job Address: 47 WOOD RD Unit: Owner Name: DELANEY JAMES Owner's Address: 47 WOOD RD Phone: Email: Purpose of Building Residential Utility Authorization No.: 13893146 Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19249 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Ln'l� Description of Proposed Electrical Installation: Service upgrade {E e 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 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: July 25, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: ROBERT J CARREIRO License Number: 19861 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: S YARMOUTH, MA, 026641976 S YARMOUTH MA 026641976 Fee Paid: $50.00 Email: carreiro.electric@yahoo.com Business Telephone: 508-280-0537 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: tk( about:blank 1/1 i ________I //01// CLU / Official Use Opl Commonwealth ofMassachusetts �-�z� ---- Occupancy IG Permit No.: T.rT J - — �/ 3 and Fee Checked: 1 L .1v�= Department of Fire Services =TI - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] �-n APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • Date: 'T,,,2 _3 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the ele ncal work described below. Location(Street&Number): --7 CJC96 1 Unit No.: Owner or Tenant: \/fl M E c -t A%EX Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No(Permit No.: Purpose of Building: -/A //r7'/f L Utility Authorization No.: / 3 93./ Existing Service: Amps / Volts Overhead 0 Underground No. of Meters: New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters: Description of Proposed Electrical Installation: r/zo ce tJ re :R Arc F tic /0 0 A'A-10, L, . 00 .tZ,-t t'' s ----,ez v,. c c 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: 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:In-Grnd.❑ Above-Grnd.❑ 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 ❑ 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 0 Level 1 0 Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 7 S7 3 (When required by municipal policy) Date Work to Start: s e ions to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 0 or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: 0.9 e ',• -i4 R re E;AO LIC.No.: /9 C l Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 42.. I©)( 70 7 -CO • 01 AM o ur/1/Ml4 0 2- G 14 o Email: AirZ rq r//q c� ! ���'c i tom-, �-) //i I-,<�c� , !s sue) Telephone No.:. b'-0 1--�- "o�" J 3 7 I certify,under th in n enalties of perjury,that the information on this application is true and complete. Licensee: Print Name:"CS o t3c?Z TS 64✓d R r I e-c) Cell.No.: S° -2 Err:.-- zS 3 7 INSURA COV RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof o ame to the permit issuing office. CHECK ONE: INSURANC vii: BOND❑ OTHER 0 Specify: 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)Owner 0 Owner's agent 0 Owner/Agent: Tel.No.: Email.: -0 Signature: Cip j/ efti..0..4* C