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Home My WebLink AboutBLDE-23-18946 6/16/23,6:30 AM about:blank Commonwealth of Massachusetts og � , * Town of Yarmouth .z ca;.. ,fix ELECTRICAL PERMIT �� . Job Address: 11 ATLANTIC AVE Unit: Owner Name: VIRTOM LIMITED PARTNERSHIP Owner's Address: 20 ATLANTIC AVE Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18946 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: Service upgrade& machine connections. 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 0 Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: June 16, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JEFFREY STEVEN DEROUEN License Number: 22206 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Plymouth, MA, 023602217 Plymouth MA 023602217 Fee Paid: $75.00 Email: maryjo@eaysolutions.com Business Telephone: 508-245-7155 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: 111 g (.I('TS (re* -- about:blank 1/1 -- rr C E 1 ri r- Print Form Cow o® / Official Use Only �':,=*� ! l` huge --�7 (�JUN G:- _= Permit No.--�;y> — ( � ` "A b— :.1 3epa�ment of iro�ervicao ....... C i-_.--m-. Occupancy and Fee Checked BUILDING DE%:: .,,'7 OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ',,� , C (leave blank) By APPL CATION FOR 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: 5/24/23 City or Town of: Yarmouth 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) 11 Atlantic Ave Owner or Tenant Roger Derosier Telephone No. 508 375-5930 Owner's Address 11 Atlantic Ave Yarmouth, MA Is this permit in conjunction with a building permit? Yes P1 No f (Check Appropriate Box) Purpose of Building Commercial Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd No.of Meters New Service 400 Amps 120 / 208 Volts Overhead 7 Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 400 amp panel with machine connections Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Trr anan KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total g No.of Air Cond. Tons No.of Alerting Devices 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑✓ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: EAV Solutions, LLC LIC.NO.:860 Al Licensee: Jeffrey Derouen Signature Z7Qit 9000.yL LIC.NO.:22206-A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:(508)245-7155 Address: 110 Hedges Pond Road Cedarville, MA 02360 Alt.Tel.No.:(781)589-5692 *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)El owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $Z.- %..--- U`^ ' 41\` e E_f\\` soL_e -ricAtc e C om