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Home My WebLink AboutBLDE-23-18972 6/21/2,S,5:43 AM about:blank Commonwealth of Massachusetts O .Klii,'xe *, u rc Town of Yarmouth a z a o�F „,ter � ELECTRICAL PERMIT `` � .= �m Job Address: 240 SOUTH SHORE DR Unit: Owner Name: PERLIN LINDA S TRS PERLIN MARC G TRS Owner's Address: PO BOX 310 Phone: Purpose of Email: Building Residential Is this permit in conjunction with a buildin Utility Authorization No.: g permit. No Permit Number: BLDE-23-18972 Existing Service Amps/Volts Overhead 0 Underground❑ New Service Amps/Volts g No. of Meters: Overhead 0 Underground 0 No. of Meters: Description of Proposed Electrical Installation: Install receptacle in shed. No.of Receptacle Outlets: 1 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❑ 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 ❑ Solar PV KW DC Ratin No.of Devices: 9: Solar PV KW AC Rating: No.of Electric Vehicle Supply E ui ment: No.of Modules: Roof-Mount❑ Ground-Mount❑ q p Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 FIRM NAME: Work to Start: June 14, 2023 License Numbe : Master/System and/or Journeyman Licensee: MANUELAANDINO License Numbers 52474 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: BREWSTER, MA, 026311876 BREWSTER MA 026311876 Fee Paid: $50.00 Email: maniandino@icloud.com Business Telephone: 774-722-2397 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: bi& a-- eC3( about:blank 1/1 ' � Commonmsatth of 9Ylaesachudstta Official Use Only *-t4 '° c� n Permit No. �v( g9 7�, '? J)spartmsnt o f,}in&,mess '' Occupancy and Fee Checked ,:' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1l07j (leave blank) 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: — I <f -Z 3 O City or Town of: rw,n v , To the I:spector of Wires: .�_ By this application the u ndersigned gives notice of his or her intention to perform thlectrical work described below. Location(Street&Number) Zy p Svv L, h ore 1 1,,•v Owner or Tenant �er.l Telephone No. CSOS)3Q8-0 y96 . Z" Owner's Address m: Is this permit in conjunction with a building permit? Yes ❑ No Er (Check Appropriate Box) gPurpose of Building S,obs..cam- Utility Authorization No. • Existing Service Amps I Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: x 11 acl d+t o...c 1 P t v t/v� 4.1,u2 E .�,ec, 6 1 J C6vtve,-f-t:w9 f"14.a .f-wo 5a.r•9 switr.i, - a 3 9 � f> S Ci,-c,.; . VCompletion of thefollowing taYfle may be waived by the Inspector of Wires. ti.t No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total S, Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting t;rnd. Bernd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 4 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 1 Lt No.of Ranges No.of Air Cond. Tons 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 Local Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 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: (When required by municipal policy.) Work to Start: 6, - 0I_Z? 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Al Ct i / A, t,,.t o 6-Le t f r�,-c_t‘.1,1 LIC.NO.: G 2 i 7 Licensee: 'o ..i gZ Signature • , �� LIC.NO.: (If applicable,er er "exempt"in the license number line.) Bus.Tel.No.Z- 14)12Z'"Z3 IL/ Address: r O R v x 5 87 &r'&.rf-i-e-, m A ci-L(o 31 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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .co —