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Home My WebLink AboutBLDE-23-19276 7/31/23,,2:42 PM about:blank Commonwealth of Massachusetts o • Y-�` a *� Town of Yarmouth '' � , , ELECTRICAL PERMIT � r h..A+m�A��muea�z Job Address: 36 FOREST GATE VILLAGE Unit: Owner Name: STEINBERG NATALIE Owner's Address: 80B SEMINARY AVE APT 352 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19276 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps I Volts Overhead ❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Replacement HVAC. 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: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: 1 Video System ❑ No.of Devices: No.Air Conditioners: 1 Total Tons: Telecom System ❑ 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: July 26, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JOSEPH W SILVA License Number: 9147 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: SANDWICH, MA, 025632761 SANDWICH MA 025632761 Fee Paid: $50.00 Email: silvaelectric52@gmail.com Business Telephone: 508-428-9082 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: 6160.4_,k_ `t t 8 (z2 ( 1/1 about:blank 1r► I 1 ( -i.,A 2 y) oixA c-a--- l S v,: r oC uc ki:.1 c.L 2r zi Commonwealth �j/� Official Use Only o��ad3ac�u3ett6 ,E *= ,i cc7/ Permit No '2 Z 0r -_1�;—71-17- - /e artment oll ire)ervices In wI-W y P Occupancy and Fee Checked ==i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 7-Z ‘ _ Z 3 • A IZ/Yt vz;7 11-- To the Inspector ofWires: City or Town of: � P By this application the undersigned gives notice of his or her intention to perform the electrical work described below. c Location(Street&Number) 3 T GATE_ C t---:::11v.ci S LA'"a y •74-3erc.-T ' Owner or Tenant % %>v''C.. ,c-r-,e Euel Telephone No. si Owner's Address So M t Is this permit in conjunction with a building permit? Yes C No (Check Appropriate Box) LI Purpose of Building S'i A15 fix, fl/Ly Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters i? New Service Amps / Volts Overhead n Undgrd n No.of Meters - N Number of Feeders and Ampacity( Location and Nature of Proposed Electrical Work: / C eN1 i T -'h G'C- a/b' �'-I 4.-r. `_ `14(X `f" /27 (74eJOr r Completion of the, ollowinktable may be waived by the Inspector of Wires. 4 No.of Total s No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs t Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool gi d. ❑ grnd. ❑ Battery_Units ,_ .- No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump 1 Number I Toons I KW No.of Self-Contained No.of Waste Disposers Totals:_ Detection/Alerting� Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection 0��_ Heating Appliances KW Security S stems:* _.. No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent ("` Heaters Signs Telecommunications Wiring: Lt No.of Devices or Equivalent x No.Hydromassage Bathtubs No.of Motors Total HP cv -Z . l e.-i ;,( HER: Attach additional detail if desired, or as required by the Inspector of Wires. --1 stimated Value of Electrical Work: (When required by municipal policy.) 11Vork to Start: "Z� Inspections to be requested in accordance with MEC Rule 10,and upon completion. L.—I jSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless i _ie licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The vundersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.___ CHECK ONE: INSURANCE [ BOND El OTHER El (Specify* Llc,,l19/)!5_/LG -�-�IS 49'' I certify,under the pains and penalties ofperjury,that the information on this application is true and comptere F LiCL i 21C-- LIC.NO.:,'?/'77 FIRM NAME: it,-.Jet LIC.NO.: ZiG Licensee: -)esi-ph � -iz-d'`t- Signatur Bus.TeL No.:�k``eZ-S-9-4 F` Address:,'3� � (If applicable,enter "exempt"in the license number line Lam"J/"Al(ci M4' ov-r4,,,g Alt Tel.No.:*g 3�`t'4751" d�"�- �'� AO � *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 ❑owner's agent. Owner/Agent Telephone No. 1 PERMIT FEE:$ Signature .. 5 x;• - ` .... .. .