HomeMy WebLinkAboutBLDE-23-15960 ""11,"'3,7:40 AM about:blank
Commonwealth of Massachusetts .o�_ -4.; ,
* Town of Yarmouth R 1c-
ELECTRICAL PERMIT
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Job Address: 99 LEWIS RD Unit:
Owner Name: MURPHY CAROLINE E MARCHISIO JEANNE R
Owner's Address: 144 SUNSET DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15960
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: Wiring of 2nd floor bedroom & bath room.
No.of Receptacle Outlets: 11 No.of Switches: 6 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 6 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.0 Above-Grnd.0 Hot Tub 0 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 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 El Level 2 El Level 3❑ Rating:
Estimated Value of Electrical Work: $4,800 Work to Start: May 31, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DANIEL 0 WILKEY License Number: 32288
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SOUTH DENNIS, MA, 026603744 SOUTH DENNIS MA 026603744 Fee Paid: $75.00
Email: dwilkey396@gmail Business Telephone: 508-360-4636
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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Commonwealth of Massachusetts Official use Only,
*= Permit No.: 1 23 ( -/C,.4
1..-7--__-_ ,`_ct Department of Fire Services Occupancy and Fee Checked:
-.=I=[--4' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231
y`.'""'14 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12. 0
City or Town of: YARMOUTH • Date:mn LV/1
To the Inspector of Wires:By this application,the under ' ne gives notices of his or her intention to perform the electr My
al work described below.
Location(Street&N mber): Z. p + Unit No.:
Owner or Tenant: L. Email:
Owner's Address: Phone No.: 6/7- 9$7-$001$
Is this permit in conjunction with a building permit?(Check appropriate box)Yes g] No❑Permit No.:
Purpose of Building: ',I V TO E I)in Utility Authorization No.:
Existing Service: 1 D Amps az)/�4 Volts Overhead 21 Underground❑ No. of Meters: 7
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Uiti d. and Floor g drCbM
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: I) No.of Switches: h Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: Co 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.0 Hot-Tub❑ 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 ElNo.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 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as re uired by the Inspector of Wires.
Estimated Value of Electrical Work: LIM, ------ (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: �.i id) t Ik Sy A-1 0 or C-I 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: "DAn!s I LA) t £y LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: F.0. ?C' 1� " / /a r..)1Ch 1 MI 0- '
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Email: I i k£y 394 C o,�}1I ' CO Ai Telephone No.:500"- 3IOV /(O3 4'
I certify,un the p s nd p a?ies of perjury,that the informal' n on this plication is true and complete.
Licensee: Print NameTP � Ltd l £ Cell.No.6;3404'44
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INSURANCE C VE G • nless waived by the owner,no permit for the performance,6f electrical work may issue unless the licensee
provides proof of liability in ding"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 RI BOND❑ OTHER❑ 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❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.: