HomeMy WebLinkAboutBLDE-23-19350 8/16/23,2:56 PM about:blank
Commonwealth of Massachusetts o� y.el
..
* t Town of Yarmouth °
ya
r 4
ty ELECTRICAL PERMIT �T$� '
Job Address: 96 CONSTANCE AVE Unit:
Owner Name: EVERSON BRADLEY S MELLO JESSICA L
Owner's Address: 96 CONSTANCE AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19350
Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Replacement of broken weatherhead & SEU to meter only.
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.❑ 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: $ 300 Work to Start: August 16, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID E COLEMAN License Number: 17221
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTONS MLS, MA, 026481048 MARSTONS MLS MA
026481048 Fee Paid: $50.00
Email: coelect@comcast.net Business Telephone: 508-428-7445
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:
tY, °II 7 17
1/1
about:blank
. ''J s.N..e'
Commonwealth of Massachusetts Official Use
Permit No.: - 14
'g rya, -"t Department of Fire Services Occupancy and Fee Checked:
H BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
c -1S0'
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12. 0
City or Town of: Yarmouth Date: 3. f /4/2 3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work des ibed b
Location(Street&Number): 96 Constance Ave Unit No.:
Owner or Tenant: Brad Everson Email:
Owner's Address: Same Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No®Permit No.:
Purpose of Building: Residence Utility Authorization No.: Emergency
Existing Service: 100 Amps 120 /240 Volts Overhead® Underground 0 No.of Meters: One
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Eversource showed due to blinking lights.Found a non reusable weatherhead.
They removed and reconnected temperately.We replaced the service cable from meter to point of connection only.Service was restored
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-Grad.0 Above-Grnd.0 Hot-Tub 0 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: 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❑ Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
........................
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $300.00 (When required by municipal policy)
Date Work to Start: 8/9/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Coleman Electric Inc A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: Master LIC.No.: A17221
Journeyman Licensee: Joumeyman LIC.No.: E29607
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 62 Fleetwood Path Marstons Mills Mass 02648
Email: coelect@comcast.net Telephone No.: 508-428-7445
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: David Coleman Print Name: P Cell.No.: 508-364-8456
INSURANCE COVERAGE: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 of same to the permit issuing office.
CHECK ONE: INSURANCE® BOND 0 OTHER❑ Specify: Liability
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.:
Signature: Email.:
i
f
I