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HomeMy WebLinkAboutBLDE-23-16005 6/6/23,^:08 PM about:blank �t Commonwealth of Massachusetts .o y„ ,s#,tx * Town of Yarmouth , °i ai O a ELECTRICAL PERMIT ,, ‘ ,I* Job Address: 75 MEADOWBROOK RD Unit: Owner Name: MACFADGEN ERNEST Owner's Address: 75 MEADOWBROOK RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-16005 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No.of Meters: Description of Proposed Electrical Installation: Upgrade service, new smoke detector, & new devices. 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: 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: $ 1 Work to Start: May 31, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JOSHUA GOMES License Number: 55514 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: TAUNTON, MA, 02780 TAUNTON MA 02780 Fee Paid: $50.00 Email:jkgelectrical@gmail.com Business Telephone: 774-721-6575 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: ` & 61c4(i-3 about:blank 1/1 Commonwealth of Massachusetts Official Use�O ©5 _*=—= Permit No.: _='1�1�-_fi Department of Fire Services Occupancy and Fee Checked: —' —_al—-4' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] y` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 M 12.00 City or Town of: YARMOUTH Date: 6 r23 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the elect cal w k described below. Location(Street&Number): Radave �. f-A Unit No.: Owner or Tenant: &63 CG t2 COI if/V Email: Owner's Address: hone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes[ No❑ Permit No.: Purpose of Building: RE51{ rri,11. - Utit'Authorization No.: ' Existing Service: 2Clt Amps Pe) / Volts Overhead Q nderground❑ No. of Meters: New Service: - Amps f36 /: (j Volts Overhead[Underground❑ No.of Meters: Description of Proposed Electrical Installation: ge 4tc FI�LS�IIVC? 5 e, iefii w j'ytwl Silt�'& £W7 ,Ut k'7' t gbot 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 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❑ 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 ork: (When required by municipal policy) Date Work to Start: 3/ ,2rr Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME:jc61-LU/.1- d*ler l A-1 0 or C-1 0 LIC.No.: sus—/y 4 Master/Systems Licensee: LIC.No.: Journeyman Licensee: 0,,i ai. LIC.No.: 5' - —/C/ B Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: /4 ) B &�i/vi el-VC�i ' `a Ai lid- -i o o Email:J F 1iLe &a lt__ eO' j Telephone No.:. 1-71- 7.71 5 I certify,under the pains and penalties of perjury,that the i ormation on this application is true and complete. �j /, Licensee: &$1-tt/}'as Print Name: ' 5.AUu¢- Lt(�j s Cell.No.: 7-"I 7 /US INSURANCE COVERAGE: Unless waived bythe owner,nopermit for the performance of electrical work may issue unless the licensee provides proof of liability including"co leted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of a to the permit issuing office. CHECK ONE: INSURANCE BOND 0 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.: Signature: Email.: e''