HomeMy WebLinkAboutBLDE-23-15846- - i'0
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ommonwealth of Massachusetts ° . Y,
* Town of Yarmouth
ELECTRICAL PERMIT ,,s� � ' ' 1,
Job Address: 161 SPRINGER LN Unit:
Owner Name: CASSIDY HENRY E JR CASSIDY GAIL
Owner's Address: 8 SHED ROW Phone:
Purpose of Email:
Building Residential
Is this permit in conjunction with a buildin Utility Authorization No.:
g permit. Yes Permit Number: BLDE-23-15846
Existing Service Amps/Volts
Overhead 0 Underground CI No. of Meters:
New Service Amps 200/Voltsead
und 0
Description of Proposed Electrical Installation: 3 Bedrooms, 3 bath ooms,gkiittchen, & livingroom. No. of Meters:
No.of Receptacle Outlets: 12 No.of Switches: 20
Generator KW Rating: Type:
No. Luminaires: 1 No.of Recessed Luminaires: 28
No.Wind Generators: Wind KW Rating:
No.Appliances: 0 KW: No.Water Heaters: KW:
No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW:
No. Heat Pumps: Total KW: Total Tons: No.Motors: Total HP: Total KW:
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: Video System El
yNo.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑
No. Energy Storage Systems: KWH Storage Rating: y No.of Outlets:
g Security System CI 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 El
Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $20,000
FIRM NAME: Work to Start: May 10, 2023
Master/System and/or Journeyman Licensee: Tsanko Kichukov License Number:
License Number: 56661
Security System Business requires a Division of Occupational Licensure
"S" LIC.
Address: License Number:
Email: tsankokichukova@gmail.com
Business Telephone:
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:
g U€OA a( I Ve
0
-- 7(1?/23 ig
RECE1 � " ®
I. ,"� 2 2023 ° ntuaaLt t of a Official Use Only
- - PermitNo. �=�3 -(s�8 L(b
,EPARTME1Ci a a,(.�sra t ag
Occupancy and Fee Checked
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PREVENTION REGULATIONS [R . 1/071 (leave blank)
APPLICATION FOR PERMIT TO P
All wo to , or co ERF Electricalssachusetts Code ELECTRICAL WORK
--, (PLEASE PRINT ININK OR TYPE ALL INFORMATION)
City or Town of: 1 i) 'v";A `c u k-Cr‘ To the Ir pector of Wires:
5 By this application the undersigned gives notice of his or her intention to perforr the electrical work described below,
Location(Street&Number) ( i rr
LC' 1 S )t I v 1 6 J,i\, /7r ,; ! .57,;,,)f ', ,7, /fir°`//—(.2A:4 '' `
' Owner or Tenant > - Telephone
/ <c,_ .,r
� �(�vie -1,-�1 Cf/� Gi ,t'�'�.�° � lep6oneNo.
Owner's Address ?; ,
�- Is this permit in conjunction with a building permit? Yes 24 No
ZL Purpose of Building T (Check Appropriate Box)
Utility Authorization No.
.,i Existing Service . <.' Amps f e.,1 y.- Volts Overhead l Undgrd 0 No.of Meters
New Service c� . Amps / O "
rr p / -c Volts Overhead Q Undgrd Ej No.of Meters
Number of Feeders and Ampactty I
Location and Nature of Proposed Electrical Work:- j3„1.1)eL,pG'3 x ;,`' ',1 1.' _,-7 �.,si_
Completion of the follouin. table may be waived by the Inspector of Wires.
. No.of RecessedLu ire$ No.of Total
No.of Cell.-Soap.(Paddle)Fans
Transformers ICVA
No.of Luminaire Outlets - No.of Hot Tubs
Generators KVA
47 No.of Luminaires gr
Swimming Pool Aboadve. 0 grrt n-d. Bo. a Emergency Llght�ng
® Battery Units
No.of Receptacle Outlets f No.of 011 Burners
FIRE ALARMS lNo.of Zones
No.of Switches ,, G l o.of Gas Burners
No.of Detection and
1 s No.of RangesInitiating Devices
- No.of Air Cond Total No.of Alerting Devices
Tons
No.of Waste Disposers
Heat Pump(Number 'Ions I KW No,of Self-Contained
Totals:J Detection/Ale Devices
No.of Dishwashers / Space/Area Heating KW incid Munieip
No.of Dryers Connection
t'y Heating Appliances KW 'Security Systems:*
No.of Water , "'No.of No.of Devices or Equivalent
Heaters No.of Data Whin
Signs Ballasts _ No.of Devicesor.E_quivalent
No.Hyd massage Bathtubs No.of Motors Total HP _ '''I''elecammunicat1ons Wiring:
OTHER: r- , No.of Devices or Equivalent
1�)W t 1-e =tNp(. b
. ` Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work; `---) -. (When t uired by municipal policy.)
Work to Start L o
Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: less waived by the owner,no
the licensee provides proof of liability permit for the performance of electrical work may issue unless
ry insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited
CHECK ONE: INSURANCEproof of same to the permit issuing office.
I certify,under the pains and � OTHER � {Specify;)
penalties of that the information on application it true and complete,
FIRM NAME: AVM -,a , u. ,, 18 mp /�
Licenses: _ LIC.NO.:5 1.
(lfczpplicable,enter exem t°')nthei° nsenumber Signature =r I.IC.NO.•
Address: 0 .og OS
�'A ►�i -tiros.}
`.. = A Ve aOst 1 -�' Bus.Tel No.:__ -c*Per M.G.L.c. 147,s.57-61,security work nrquires Department of Public Safetyt
"S"License: A it`Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nornrall
required by law. By my signature below,I hereby waive this requirement. I am the(cheek one $ owner a owner's, , y
Owner/Agent
Signaturea t eat.
Telephone No._._�__. PERMIT FEE:$