HomeMy WebLinkAboutBLDE-23-18989 UNIT 17 6/23/23, 7:40 AM about:blank
Commonwealth of Massachusetts g Y4
* Town of Yarmouth
3
ELECTRICAL PERMIT -:
Job Address: 77 ROUTE 28 Unit:
Owner Name: THE VILLAGE CENTER GROUP
Owner's Address: 19 HIGHLAND ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18989
Existing Service Amps/Volts Overhead ❑ Underground ❑ No.of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Recessed lighting & upgrade devices
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 El 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 El No.of Devices:
No.Air Conditioners: Total Tons: Telecom System El 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 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 20, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NATHANIEL MARCHANT License Number: 53813
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mattapoisett, MA, 027392311 Mattapoisett MA 027392311 Fee Paid: $80.00
Email: nathaniel.electric@gmail.com Business Telephone: 774-762-6249
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
a k7/27/i3 kg___
about:blank
1/1
I ECE vED
:`- . n .
' UN 2 0 Official Use Onl
��nmowealth of Massachusetts
O
,' • �1 Permit No.: rl,j _ t ipi v C
At __ckrtment of Fire Services Occupancy and Fee Checked:
• ! >" �OQ I FIFE PREVENTION REGULATIONS [Rev. I/20231
- —` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: YARMOUTH_ • Date:
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical wdescribed below.
Location(Street&Number): 77/i� 2, a;F.; I q i )-7, i 6 Unit No.: A,?, `� J-
Owner or Tenant: (,fJ.p$lei-7/ Zj,-ras /6/.c/ Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No[Permit No.:
Purpose of Building: /Vio fe/ Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: 2,-1 S 7?/ j e )i fs, 7e/o/a i'g a//
nu-Ile-Ss t Sc_di'-/clna5, n S-a // ,/211,// / ' 117/ 7
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets:/,2 No.of Switches: 2' Generator KW Rating: Type:.
No.Luminaires:5 No.of Recessed Luminaires: u 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.0 Above-Grnd.❑ Hot-Tub D No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System Y 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System
No.Energy Storage Systems: KWH Storage Rating: SecurityEl No.of De
Solar PV KW DC Rating: System 0 No.of Devices::
Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount
❑ Level 1 0 Level 2 0 Level 3 ❑ Rating:
OTHER:
Attach additional detail if desired,or amquired by the Inspector of Wires.
Estimated Value of Electrical Work: fliff 0- O
Date Work to Start: (When required by municipal policy)
6-- 0,2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 14,,,l,eyt�. / 1e, 'w,C z,c. ,6:/CC i-� '
A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee:
/ LIC.No.:
Journeyman Licensee: i/Aa4.4/ /-2'4,Yg,
LIC.No.: �53215
Security System Business//�� requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: /-5 t/a4-bo✓/el/ik _,V 7 2.pd) - ,/ .A 0175
c�
Email: /rf¢h /
B/elec71,-,G Ei)jma,I. CoYY Telephone No.: 777 771- Q y 9
I cert ,under he aims penalties of perjury,that the information on this application is true and complete.
Licensee: p r/ `4 ._/ p
Print Name: ,�77ii oyyl,�,- G,,.G Z Cell.No.: 77�7�,�-�,�y/INSURAN COV RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of a to the permit issuing office.
CHECK ONE: INSURANCE[}BOND❑ OTHER 0 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: El
Tel.No.:
Signature:
Email.: