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HomeMy WebLinkAboutBLDE-23-18996 6/26/23,7:13 AM about:blank Commonwealth of Massachusetts -. g Y.4 ' * v mO ,F Town of Yarmouth % ", a C ELECTRICAL PERMIT Job Address: 17 CREST CIR Unit: Owner Name: CRESTVALLEY DEVELOPMENT LLC Owner's Address: 63 PROSPECT ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-18996 Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Ufer grounding 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 ❑ No.of Devices: No.Air Conditioners: 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 0 Ground-Mount El Level 1 El Level 2 El Level 3❑ Rating: Estimated Value of Electrical Work: $400 Work to Start: June 28, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00 Email: neileileen@comcast.net Business Telephone: 508-776-1857 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: C4( 7 (2 A'2_ ec uFE2. 4,90 774.55. about:blank 1/1 Commonwealth of Massachusetts Official Use Onjlyp� i�-**_ Permit No.: Z3 — l �(J�9 c—" '_ / Department ofFire Services (-1---:--� � Occupancy and Fee Checked: t. _h�= � BOARD OF FIRE PREVENTION REGULATIONS [Rev 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CM 12.00 City or Town of: YARMOUTH • 2-3 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intentionDate: describedNo.: below. Location(Street&Number): l � �e-S"—et(-et- Owner or Tenant:'`. [L.. V ci i IL Unit l D fit/{l oil Lmatl: Owner's Address: J C Is this permit in conjunction with a buildingpermit?(Check appropriate Yes No No.: box) [�No 0 Permit No.: Purpose of Building: Git©Wit` Gjcc Existing Service: Amin Utility Authorization No.: p / Volts Overhead El Underground❑ No. of Meters: New Service: 2-00 Amps 120/ Pi0Volts Overhead 0 Underground^'/ Description of Proposed Electrical Installation: 0 i g L!� No.of Meters: y d 1✓( - 0 7-7 A-5 /2 6 2. Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: No.Luminaires: No.of Recessed Luminaires: No.Wind Generator KW Rating: Type:. No.Appliances: KW: No.Water Heaters: KW: No.Transformers:tors: Wind KW Rating: Space Heating KW: — Total KVA: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grad.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: No.Energy Storage Systems: KWH StorageRating: Telecom System 0 No.of Outlets: _ Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating:0 No.of Electric Vehicle Supply Equipment: — OTHER: 0 Level 1 0 Level 2 ElLevel 3 0 Rating: Attach additional detail if desired,or as re uired by the Inspector of Wires. Estimated Value of Electrical Work: .. a 6 Date Work to Start: ��.-Zv� (When required by municipal policy) �j - Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: / t!► 1 Sef7atner pp _'�.� a GtiGo C A-1 ❑or C-1 ❑LIC.No.: igi,„ / r/ Master/Systems Licensee: �-- LIC.No.: /¢'e 3 9 Y e/ Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licen:ure"S"LIC. Address: �� `I"'rel. 'D�is S-LIC.No.: yei ,6-91-14(..471 .2.4-, 0 2.6--2_.? Email: n Gt L c (4-Pn tQ C d 4k,G ri.,>; " A Telephone No.: O'S�:? k—J e S'7 I certi a pains a enalties o i � p f perjury,that the information on is application is true and complete. Licensee: '`"- Print Name: ;`-e i t ,� r L� INSURANCE COVERAGE: Unless wa' d by the owner,nopermit for ���p { Cell.No.: SOb 77t l CJ� provides proof of liability including"corn ted operation"coverage or its substantial equivalent. undersignedThe rmance of trical o certi issue unless the oversee is in force and has exhibited proof of s e to the permit issuing office. files that such coverage CHECK ONE: INSURANCE BOND❑ OTHER❑ 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/Agent: 0 Owner's agent 0 Signature: Tel.No.: Email.: