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Home My WebLink AboutBLDE-23-19278 7/31/23,2 54 PM about:blank Commonwealth of Massachusetts ov 'Yip Town of Yarmouth °�7 ELECTRICAL PERMIT �¢ , ,�'x ,.. Job Address: 938 ROUTE 6A Unit: Owner Name: OLLIE ORMON LLC Owner's Address: 5 BRAY FARM RD SOUTH Phone: Email: Purpose of Utility Authorization No.: Building Commercial Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19278 Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters: New Service Amps/Volts Overhead❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Service switch for water heater&clean up some customer done wiring. 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: In-Grnd.❑ Above-Grnd.❑ Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: System ❑ No.of Outlets: No.Air Conditioners: Total Tons: Telecom S y 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 hi❑ SLepplyvel 3❑EquiRatpment: No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 Estimated Value of Electrical Work: $ 1 Work to Start: July 31, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: ROBERT F THIBEAULT License Number: 22475 Security System Business requires a Division of Occupational Licensure License Number: "S" LIC. Address: BREWSTER, MA, 026312806 BREWSTER MA 026312806 Fee Paid: $100.00 Email: bobthibeault@comcast.net Business Telephone: 508-237-1739 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: W l‘d- 4s( -3 1/1 about:blank ' , 1 JUL 312023 ' aa'' 1, Commonweal h.o/Maeaachueatte Official Use Only "--"' "� i N G U NA 1-K 1 ivl t.NI Z"3 .-( l z7 e y» c� c� Permit No. ` l �' a " — oloIrtmed o��}irs�arvicse �♦ Occu y(- pane and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07] (leave blank) S 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: /9 ltz 3 City or Town of: YARMOUTH To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 9'3? //WI ti? Sr- Owner or Tenant e 0/141 O,t./ Telephone No, Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service tC'0 Amps /Zo/ZI Volts Overhead EY Undgrd[1 No.of Meters 3 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 7 — 2-0 0 Location and Nature of Proposed Electrical Work: -/ o v7z.c.-7 S .4:-. i,vs7YgZt,.&-yLoi CC SiP/ram r U,C,- tie>4//& "14- t%/UDCX- S7-4¢/2C4s'- ' 1 Completion of the followingtable may be waived by the Inspector of Wires. "`' No.of Total Ul No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA ,,/ 'Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA rv', _ st° No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting irnd. ❑ 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 i' No.of Ranges No.of Air Cond. Tonga No.of Alerting Devices No.of Self-Contained No.of Waste Disposers 'Heat Pump tams Number Tons KW Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipa Connection 1---, other, yy No.of Dryers Heating Appliances KW SecNo o Systems:* 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 Tel No.of Devices or Equiecommunications . Wirivalent 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0OND ❑ OTHER 0 (Specify:) 7/2-z 3 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: !/� LIC.NO.: Licensee: ,�JB T2 -I Lr Signature �£ %� LIC.NO.: CZZ'I 2 (If applicable,enter"exem t"in the license number line. _ Bus.Tel.No.' T 3 7-/ 7'1'9 Address: '( Gcx) �ti� Tz b, / 7Ze ��s t f L 7)1,4 � ,'-/ 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,1 hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.