HomeMy WebLinkAboutBLDE-23-15943 5/26/23,6:33 AM about:blank
Commonwealth of Massachusetts 0v, Y,,cl
Town of Yarmouth
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ELECTRICAL PERMIT .G.
Job Address: 1A WALNUT ST Unit:
Owner Name: FIORE EDWARD J TRS EJF REVOCABLE TRUST
Owner's Address: 17 OAKRIDGE RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15943
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Convert garage into family room.
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: $ 1,600 Work to Start: May 24, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH C BIANCHI License Number: 34937
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MENDON, MA, 017561035 MENDON MA 017561035 Fee Paid: $75.00
Email:joe.bianchi13@gmail.com Business Telephone: 508-958-0524
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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RECE" !"" 'Co® ealth o1 Ma98achudet Official Use Only 1
_ M Permit No. L23 ► -T
rard MAY 2 4 2023—ep-tnent o`-ire Service.1
li Occupancy and Fee Checked
ILD115,0A, RD;;aF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
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APPL1CATION FO1k PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5-- -'1 " -'�
City or Town of: (Xi,m.it / 4`VMcti7 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) /A- fir-'.-L- /vvT
Owner or Tenant _A i f 1 t"L-7 &.i it) Telephone No. 1+ ;r u,3 t
Owner's Address f, - 14.44-C— lvc---"r
Is this permit in conjunction with a llailding permit? Yes tgf No ri (Check Appropriate Box)
Purpose of Building /4il 14 i 7l t,0,4,--' Utility Authorization No.
Existing Service/C(2 Amps /.2. 7 I3t7c)Volts Overhead le Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed � �
Electrical
c�Work: -7- n`tit 5 5,
AZ+ 4 •"..'�'C: l p'L/ 4.4—
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ,
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
Total No.of AlertingDevices
No.of Ranges No.of Air Cond. Tons
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other
Heating Appliances KW Security Systems:*
No.of Dryers No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 4.600 (When required by municipal policy.)
Work to Start:5' 7". 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 rage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ] BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: �3 t•, ,pG1 L gi.ir1t_.I'1Q 1 Il e . 9D Cfrei-rt.) LIC.NO.: 6 7
Licensee: S e)c- ,j. ft/1 C-tt r' Signature _ ,66.e�.)-e-tip LIC.NO.:
(If applicable, enter "exem t"in the license n mber line.) Bus.Tel.No.:
Address: S—F' f =�7- ''i' Au( t''t'e- t Alt.Tel.No.:
*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 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)0 owner 0 owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.