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HomeMy WebLinkAboutBLDE-23-15844 Commonwealth of Massachusetts r-ov:Y*44,a,A >� e Town of Yarmouth c a it a ELECTRICAL PERMIT %``\‘ a° s Job Address: 60 BROADWAY UNIT 19 Unit: Owner Name: THE TIME SHARE ESTATE TRUST Owner's Address: 60 BROADWAY Phone: Purpose of Email: Building Residential permit in conjunction with a buildingUtility Authorization No.: Is this 1 permit? No Permit Number: BLDE-23-15844 Existing Service Amps/Volts Overhead ❑ Underground El gNo.of Meters: New Service Amps/Volts Overhead 0 Underground 0 Description of Proposed Electrical Installation: Relocate laundry gNo. of Meters: No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: Yp No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: 2 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 Y No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ Y 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 E ui ment: CI 1 ❑ Level 2❑ No.of Modules: Roof-Mount❑ Ground-Mount q p Level 3❑ Rating: Estimated Value of Electrical Work: $ 800 FIRM NAME: Work to Start: May 5, 2023 License Number: Master/System and/or Journeyman Licensee: ANDERSON ALBERTINI License Number: 57432 Security System Business requires a Division of Occupational Licensure "S" LIC. Address: HYANNIS, MA, 02601 HYANNIS MA 02601 License Number: Email: albertini2811 @hotmail.com Business Telephone: 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: ��, ii 4 C,oncnwnwsa[th y� i� o`/r/aeeachweette Official Use Only >rirt Z C `19 2spaartmsnt o f J`irs-gsrvicsePermit No. (%• „ BOARD OF FIRE PREVENTION REGULATIONS Occ cy and Fee Checked Rev. I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in acc ordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:I~1.�j�C{�2v 3 r City or Town of: V\o/ By this application the undersignedgives notice f his or her intention to To the Inspector of Wires: � Location(Street&Number) '�- , perform the electrical work described below- Owner or Tenant J E P H ©rj A:1?S Owner's Address Telephone No. I, -_ C0 ,1/4--i Is this permit in conjunction with a building permit? Yes 4W Purpose of Bailding�> , �(�.:�.�--/�L ❑ No �1 (Check Appropriate Box) Utility Authorization No. ot Existing Service d QQ. Amps s�2,,d ;,=-Volts OverheOverhead[ Undgrd New Service Amps ❑ No.of Meters Ps / Volts Overhead❑ Undgrd 0 No.of Meters.zicl Number of Feeders and Ampacity q. Location and Nature of Proposed Electrical Work: m AAotJ sir;N� �f; � Y > �. Q A.,t >-14Lf 4 t 64:TAI'L2asvt `l-D 4 C i o 5 rr: -JV Fj r rya r- L e; Completion of the followin_ table may be waived by the Invector of Wires. kft No.of Recessed Luminaires No.of Ceil.-S No.of nsp.(Paddle)Fans Transformers Total No.of Luminaire OutletsKVA :- No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool `� ove (] In- ❑ No.of Emergency Lighting '� No.of Receptacle Outlets 'd• Batte Units "� No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o t etec on an l ( No.of Ranges Initlatin, Devices No.of Air Cond. °Tons No.of Alerting Devices `eat .ump ..`uin j.^r ons ' „ `o.o e onta n No.of Waste Disposers Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 'un e p 0 "ter No.of Dryers Heating Appliances KW u Connection `o.o "ater .o.o No.of Devices or E.uivalent Heaters ' °•° Data Wiring: Si._ 's Ballasts No.of Devices or 'uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun c 'ons "r g OTHER: J �(9Z.. ® 'J, No.of Devices or uivalent 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: a3 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 undersigned certifies that such coverage is in force,and has eiited prop of ff same to thee or its subs fi�equivalent. The CHECK ONE: INSURANCE BOND 0 OTHER permit issuing office. I certify,under the pains and ❑ (Specify:) penalties ofperjury,that the information on this application is true and complete. FIRM NAME:r Np -k . ( ►J Z`G i Licensee:-�4N ; zt.L ,itrj Nl Signature LIC.NO.: _ (If applicable,enter"exempt to the license number line.) LIC.NO.: �j 3 2. Address: �NJ N �Nitu, AAri l , Bus.Tel No.• Per M.G.L.c 147,s 57-61,security work requires Safety Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee not have the liability insurance coverage norm required by law. By my signature below,I hereby waive this requirement I am the(check one • owner g ' all Owner/Agent Y Signature ■ owner's a;ent. Telephone No. PERMIT FEE:$ o