HomeMy WebLinkAboutBLDE-23-16008 i,8:27AM about:blank
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6 `� Commonwealth of Massachusetts ov. Y:—,�
* Town of Yarmouth � , a`'
ELECTRICAL PERMIT 4`
Job Address: 8 VILLAGE LN Unit:
Owner Name: MCVEIGH HELEN
Owner's Address: P 0 BOX 646 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-16008
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Replacement of exterior service.
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❑ 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 0 No.of Outlets:
G.
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: $ 1,500 Work to Start: June 7, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PETER C FRUEAN License Number: 27553 f
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CENTERVILLE, MA, 026322149 CENTERVILLE MA 026322149 Fee Paid: $50.00
Email: peterfruean@gmail.com Business Telephone: 978-490-8750
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:
N\---/R 46(2:2)- L__-
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= Commonwealth o/Mamachu9elt6 Official Use Only
► — t c� Permit No.C23--t Co C' E
" . epartment o f Sire Servicee
tiflii,= 2 pi Occupancy and Fee Checked
�E 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:
City or Town of: ii4.►'1OO To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 8 v i l\4 L � to
Owner or Tenant Aesexi wlcV&Z Telephone No.9S`737 7 Si{5
Owner's Address 6"fY7e
Is this permit in conjunction wit building permit? Yes n No N I (Check Appropriate Box)
Purpose of Building I?1Nel1%k O� Utility Authorization No. i 3322 41 34
Existing Service CO G Amps 0JJ/Z'(d Volts Overhead rW. Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Re71o. > p j c si c ,rz-'fle.&(5e,Q'/4 C
.it e
0.e / '2 lV. ?pate l
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
11 Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
rii
Z No.of Luminaires Swimmin Pool Above ❑ In- ❑ 'No.of Emergency Lighting
g grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
p No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
G\ No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
1.A r3' No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
0 No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
g:
y g No.of Devices or Equivalent
I OTHER:
oo Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 15d0 (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 coy age is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE I BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
&FIRM NAME: k!v rite"( LIC.NO.:
Licensee: iget, rce dk,,,,,4 Signature Wilel.....----\-----"NLIC.NO.: 2. .55
(If applicable,enter "exempt"in the icen umber line) �.` . ( 3� Bus.Tel.No.: ihff f`�a 7V
Address: l 37 rei Ate 'Ackley it <<K tr�l�C 1M 26 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Depat tuient 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 ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
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