HomeMy WebLinkAboutBLDE-23-15940 `'?6/2.3.-..46 PM (512C/ about:blank
Commonwealth of Massachusetts
* Town of Yarmouth
ELECTRICAL PERMIT R` ) ' ,f)
Job Address: 167 PLEASANT ST Unit:
Owner Name: CHILDS CHARLES F QUIRK TERESA
Owner's Address: 167 PLEASANT ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15940
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: wire replacement oil boiler(508-398-38314 x 100)
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 0 No.of Devices:
Swimming Pool: In-Grnd.0 Above-Grnd.0 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 ❑ 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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 0 Work to Start: May 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: A J PULLEY License Number: 21843
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: P.O. Box 1401 South Dennis MA 02660 Fee Paid: $50.00
Email: electric@halloilgasandelectric.com Business Telephone: 508-398-3831
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:
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Commonwealth of Massachusetts_ � 7 . lise only _ is990
ilti=— t PermitNo.: L
_- - Department of Fire Services Occupancy and Fee Checked:
= ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: Y°i v2.,,r4.4„1,.l., Date: S-t?-2 3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): /t,(-7 P'_£ASAmr S-r'. Unit No.:
Owner or Tenant: CAvcu. C. z_i)S Email:
Owner's Address: Phone No.:
is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No 0-Permit No.:
fit Purpose of Building: 1 S -,)TwL j)w � �e-` ,, �, Utility Authorization No.:
�\ 1 Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
c ',New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
v Description of Proposed Electrical Installation: w„ € (24-1DL,�- Y,,t -y 0 it_ 80 rL.R-
vr\Completion of the following table may be waived by th Inspector of Wires.
.Ij�� No.of Receptable Outlets: No.of Switches: # Generator KW Rating: Type:
W No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
t 'A No.Appliances: KW: No.Water Heaters: KW: No.Transfo rs: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motor,.otal HP:.3/i.( Total KW:
N.
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In- 0 Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: / No.Gas Burners: Video System ❑ No.of Je e —'—
U No.Air Conditioners: Total Tons: Telecom System 0 No.of Ds L D
(j No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
j Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equi meat: MAY 22 2023
tl.) No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
BUILDING DEPARTMt'NT
Attach additional detail if desired,or as required by the Inspector of Wires. —
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: S-t?. 23 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: [.,[,r, „ ni, (0 , A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: A-'S. 20a .,.,./ LIC.No.: 4 al yH 3
Journeyman Licensee: A-s . 7,�,, LIC.No.: I 0 2.23 a
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: o_ -3 I y u 1 s.^.,)-rta tI=�.).,),s vt,t 41 . 07_.e(v()
'
Email: ELf--c,.sL 0 H.Arkt_ v«(:)h S A-Anil ELr'rr2 r( — 0-)rul Telephone No.: c{3 9 r 3 a'31 Y IOU
I certify,under th ins and penalties of perjury,that the information on this application is true and complete.)
Licensee: Print Name: A 3, ,,,,, Cell.No.:
INSU OVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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.
CHECK ONE: INSURANCE 2".BOND❑ OTHER El 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's agent 0
Owner/Agent: Tel.No.:
Signature:
Email.: