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Home My WebLink AboutBLDE-23-15857 Commonwealth of Massachusetts - v4 ', * Town of Yarmouth . a�t ELECTRICAL PERMIT fFx Job Address: 44 STUDLEY RD Unit: Owner Name: LUCEY ANNE LUCEY PAUL Owner's Address: 19 WALTON LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15857 Existing Service Amps/Volts Overhead ❑ Underground 0 No.of Meters: New Service Amps/Volts Overhead❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Rough &final inspections for un-permitted work&new work. 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 0 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 0 Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: May 17, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: Sean Leavitt License Number: 697 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: 99 Columbus Avenue Dover New Hampshire 08320 Email: led Sean@GMAILCOM Business Telephone: 603-749-5365 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: ( -1 23 C — -' ,,,, -76i ? 2s =- 6rv1G,,) k CSC 1F iS I — 71".. M A i d ' j C. n o///l is Official Use Only ontnwnwsa aeeac i' x_�' Permit No. t L -( S 'a � BUILDING D ?k Occupancy and Fee Checked BY _._ - ,;-,r,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/o7] (leave blank) I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK VAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),5,27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 51.1 12 '23 .i City or Town of: Y yvvux,.4-\ To the Inspector of Wires: 4 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 5)e Location(Street&Number) 4 4 S tt. k ty ,r j Owner or Tenant Pi e(Jrbk.) c..V T Telephone No. t 0 e Owner's Address �' Ql�r-1- vv,vu f i ,vt Sv, k. 1.4 1 `Jt r/3-i1n ei w• Nit Q i is rd 5— fE Is this permit in conjunction with a building ?? Yes ❑ No ❑ (Check Appropriate Box) clPurpose of Building (j f ; Utility Authorization No. Existing Service i Amps 20'C /®Volts Overhead[ Undgrd❑ No.of Meters I ' 4 New Service Amps / Volts Overhead 0 Undgrd El No.of Meters Number of Feeders and Ampacity --- Location and Nature of Proposed Electrical Work: 1'I,P„t.,..!)._. O n%14 . to \ c a S may, +0 c d Completion of the followin&table may be waived by the Inspector of Wires. QJ No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of tzti Transformers KVA KVA CA No.of Luminaire Outlets No.of Hot Tubs Generators KVA m No.of Luminaires Swimming pool Above ❑ In- ❑ "No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of OD Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 10 No.of Ranges No.of Mr Cond. Ton No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Lem,❑ Municip 0 other Connection No.of Dryers Heating Appliances KWSecurityNo Systems:* Devices or Equivalent No.of Water , Heaters Signs Ballasts No.of Devices of No.of Data Wiring: evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE EYBOND 0 OTHER 0 (Specify:) c> I certify,under the pairs and penalties ofperjury,that the information on this application is true and complete FIRM NAME: • _ g '- t d � e-:G.+f!� �:('/YL L�'fix'i ��'1�f< LIC.NO.: 0 7 I"� i— U Licensee: Signature y ' : (lf applicable,enter"erp,pt"in the 1ipense number line.) y=i /♦ � �•� :LIC.xo. Address: 1 lira.TeL No.• O -- � 9 ,'� . .) _ °,1 y! -i(t‹.. f )�vre - , ,- i • Alt.TeL No.: *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 herepy waive this requirement. I am the(check one)[]owner ❑owner's agent. Owner/Agent Signature _ '3/ • �L; �. _ ,. Telephone No. I PERMIT FEE:$ sv- I c - 33s 9