HomeMy WebLinkAboutBLDE-23-15996 6/6/23,6:40 AM
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ACommonwealth of Massachusetts m� g Yam;
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Town of Yarmouth
ELECTRICAL PERMIT `' ,,
Job Address: 153 CAPT BACON RD Unit: �j1g ,ZRO t G 6;(�
Owner Name: TAYLOR JONATHAN T TRS TAYLOR HELEN E TRS l
Owner's Address: 153 CAPT BACON RD Phone:
Purpose of Email:
Building Residential
permit in conjunction with a buildingUtility Authorization No.:
Is this
1 permit? No Permit Number: BLDE-23-15996
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0
Description of Proposed Electrical Installation: Basement bathroom, sub panel, &split NC. No. of Meters:
No.of Receptacle Outlets: 4 No.of Switches: 5 Generator KW Rating: Type:
No. Luminaires: 1 No.of Recessed Luminaires: 6Yp
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 0
No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System Y No.of Devices:
No.Air Conditioners: 1 Total Tons: 1 Telecom System 0
YNo.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: SecuritySystem 0
YNo.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply E ui ment:
No.of Modules: Roof-Mount ElElLevel 1 0Level 2 0 Level 3 pp Ground-Mount3 l p
Rating:
Estimated Value of Electrical Work: $ 3,100
FIRM NAME: Work to Start: June 6, 2023
LicensMaster/System and/or Journeyman Licensee: BRYANT K DUNDON License Nu err 53109
Security System Business requires a Division of Occupational Licensure
"S" LIC.
License Number:
Address: MASHPEE, MA, 026493458 MASHPEE MA 026493458 Fee Paid: $75.00
Email: dundonelectric@gmail.com Business Telephone: 7744-994-1092
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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--. omMollpwealth of Massachusetts
Official Use Onl
_: -Aai,,� kl BOARD 0 2 023 Department of Fire Services Permit No.: Z3 ��
;; Occupancy and Fee Checked:
II- OF FIfE PREVENTION REGULATIONS [Rev. 1/2023]
' ' AP'PLIC TON FOR PERMIT TO PERFORM ELECTRICAL WORK
' -yAll workao be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: YARMOUTH
Date:
To the Inspector of Wires:By this application,the undersigned ives notices of his r her intention to perform the electrical work described below.
Location(Street&Number): 5
Owner or Tenant Unit No.:
Owner's Address: Email:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No one Permit
rmt No.: ! AT--
Purpose of Building: ,e ..
Existing Service: /r��, Amps Utility Authorization No.:
P />G /z y o Volts Overhead Underground /
New Service: g ❑ No, of Meters:
Amps / Volts Overhead Underground❑ No. of Meters:
Description of Proposed Electrical Installation: t � f ,(�
/� 4JofLi rOGiril A�tYGtl 70 ejv� �/I I P-0 r -'t c. e rr[r /� l
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: 4 No.of Switches:
No.Luminaires: - Generator KW Rating: Type:.
No.of Recessed Luminaires: 4, No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No. Water Heaters: KW:
Space Heatin KW: No.Transformers: Total KVA:
gHeating 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.0 Above-Grnd.0 Hot-Tub
No.Oil Burners: ❑ No.of Self-Contained Detection/Alerting Devices:
No.Gas Burners: Video System y ❑ No.of Devices:
No.Air Conditioners:
Total Tons: / Telecom System No.Energy Storage Systems: KWH Storagey ❑ No.of Outlets:
Rating: Securit System stem y 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equip
ment:
No.of Modules: Roof-Mount ID Ground-Mount0 Level 1 pp e
OTHER: ❑ Leve12❑ Leve13❑ Rating:
Attach additional detail if desired,or as required by the Inspector of Wires.
..............
Estimated Value of Electrical Work:-c,Q�,,,
Date Work to Start: L (When required by municipal policy)
Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:
/c A A-1 0 or C-1 0 LIC.No.:Master/Systems Licensee: —__
LIC.No.:
Journeyman Licensee: f
!�r �c LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. J/�
Address: a 2 -�— / S-LIC.No.:
c. ,re- S c -. /%S! _ �j -
Email:ILrin J�/C /rc_{fr • ,D Z c _
Telephone No.: 7c- /Or
•
I certify,under the pains and penalties of perjury,that Me info mation on this a plication is true and complete.
Licensee: «-r t.,- e'X' print Name:
INSURANCE COVERAGE: Unless waived by the owner,no pe it for e performance of electrical trical work mayissue unless ��` l�
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. the licensee
CHECK ONE: INSURANCE[' BOND 0 OTHER ElSpecify:
OWNER'S INSURANCE WAVER: 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:
Signature: Tel.No.:
Email.: