HomeMy WebLinkAboutBLDE-23-18959 -6/20/?3.6:32 AM about:blank
... — (tcV Commonwealth of Massachusetts ov ' °
Town of Yarmouth
it ELECTRICAL PERMIT
Job Address: 48 EILEEN ST Unit:
Owner Name: QUIGLEY PAULAA(LIFE EST)QUIGLEY CHRISTOPHER F & PATRICK J
Owner's Address: 48 EILEEN ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18959
Existing Service Amps/Volts Overhead 0 Underground❑ No.of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Basement bath breakfast area.
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.El Above-Grnd.0 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 El 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 O Rating:
Estimated Value of Electrical Work: $ 5,500 Work to Start: June 9, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: THOMAS P SULLIVAN License Number: 18182
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: COTUIT, MA, 026353517 COTUIT MA 026353517 Fee Paid: $75.00
Email: tpsullivanelectric@live.com Business Telephone: 508-280-5616
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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Ui1-41 � j REVELATION REGULATIONS Rev. 1/07
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v APPLICATION 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:6/15/2023
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) EILLEEN ROAD 1T' yef3
~ Owner or Tenant QUIGLEY Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 2 No I I (Check Appropriate Box)
cQ1..) Purpose of Building DWELLING Utility Authorization No.
Existing Service Amps / Volts Overhead❑ tindgrd No.of Meters
J New Service Amps 1 Volts Overhead❑ Undgrd No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
4 BASEMENT-BATH-BREAKFAST AREA
Completion of the followin. table may be waived by the Inspector of Wires.
k) No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
} No.of Luminaire Outlets No.of Hot Tubs Generators KVA
V� No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
g grnd. grnd. Battery Units
`J No.of Receptacle Outlets No.of Oil Burners I FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
1 No.of Ranges No.of Air Cond. Total
No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW I Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Sec Nostems:*
t o yf Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters 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: 5500 (When required by municipal policy.)
Work to Start:6/9/2023 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 0 (Speci .
I certify,under the pains and penalties of petjury,that the informati n on his a plication is true and complete.
FIRM NAME:THOMAS P SULLIVAN em LIC.NO.:E31011
Licensee: THOMAS P SULLIVAN Signs t i LIC,NO.:A18182
(If applicable,enter"exempt"in the license number line.) t Bus.Tel.No.:508/280/5616
Address: 71 WAQUOIT ROAD 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:$ 7s''
Signature Telephone No.