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Home My WebLink AboutBLDE-23-18971 ,5:30 AM about:blank Commonwealth of Massachusetts g -, Town of Yarmouth ,' g of r O fly? ELECTRICAL PERMIT . Job Address: 24 VALLEY RD 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? No Permit Number: BLDE-23-18971 Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Ufer ground in footing. 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❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: June 22, 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: c..',')Ft._,(Z_61(?ji,31.4AD Z-1-/-27) e .,- ec(i. about:blank 1/1 Commonwealth of Massachusetts Official Use Only I =.- Permit No.: t 7-3._ t k Ct 1 t E- 4, r Department of Fire Services Occupancy and Fee Checked: -=_1e_ 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 CMR 12.00 City or Town of: YARMOUTH Date: b --z_c) --Z, 2 -3 To the Inspector of Wires:By this application,the undersigned gives notices of is or her intention to perform the electrical work described below. Location(Street&Number): r-1 V%'1 L litL ,/ L1.C- Unit No.: Owner or Tenant: (, 1`Z�.� V e,t ii J t�e�te lC Y-tmat1: Owner's Address: hone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes[ 0 Permit No.: Purpose of Building: 6 U Li rye, t ir `�, Ir-43U 7-1,� Utility Authorization No.: /3 I/7ie 9 7 Existing Service: Amps �� Volts 40verhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: Completion of the following table may be waived by the Inspector of Wires. No.of Receptable 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-Grad.❑ 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: No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 1 ❑ Level 2 0 Level 3❑ Rating: OTHER: Attach additional detail if desired,or as fequired by the Inspector of Wires. Estimated Value of Electrical Work: 5 co (When required by municipal policy) Date Work to Start: L., 'a 7023 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: r-c I S e,1-t b-c- "Le .- A-1 ❑ii C-1 ❑LIC.No.:4 i 3 9 L{9 Master/Systems Licensee: 4 t S -CI,t:°r-Lie.._,— LIC.No.: / t 3 Z c(Cf Journeyman Licensee: LIC.No.: Security System Bu IS iness requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: ` fret e -t t S T 1-4i-01 L/r1/ Email: /1 e i I e f f-e e'" •✓ c ci ti'l G``N i e'C Telephone No.: I certi u the pains yid penalties of perjury,that the information on this application is true and complete. Licensee: 'tA7.,� 4. �<,c Print Name: t' , r( S , (ice. -`— Cell.No.: .S .11-7?4-j1 7 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"comp ed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 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.: