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Home My WebLink AboutBLDE-23-19580 9/28/23,7:07 AM about:blank Commonwealth of Massachusetts . 'y „ Town of Yarmouth `� "9 ELECTRICAL PERMIT p , Job Address: 15 THORWALD PL Unit: Owner Name: MUTARELLI PHILIP C MUTARELLI DANIELLE G Owner's Address: 45067 PAWNEE DR Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19580 Existing Service Amps I Volts Overhead ❑ Underground 0 No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Exterior lighting &meter socket replacement. 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: September 27, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: CLINT W KELSALL License Number: 28822 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W BARNSTABLE, MA, 026681332 W BARNSTABLE MA 026681332 Fee Paid: $50.00 Email: ckelectricl@aol.com Business Telephone: 508-560-1830 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.4 4g I 0(2-3 1/1 about:blank i __ i RECEIVED 41,.. SEP 27 201 / 4 o sa 0/ addachNdafd Official Use Only �� e;rDING DEPARTM sn id of Permit No. -�. 5 kO(`� j 411114 U �' ;''(; BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I/07] (leave blank) 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 'r` 7 ;7 C.2 3 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her'ntention to perfo the electrical work described below. „ 4) Location(Street&Number) l 5 / �4L 7 r t -Ll /.4 r---- Owner or Tenant - f{/.V ' Telephone No. Owner's Address 4'9 ;7 t,,,2,-1 -1: --Tzr Mc.,-C% 4}475- Is this permit in conjunction with a building permit? Yes ig No 0 (Check Appropriate Box) Purpose of Building f ,7,ge-e;j_,, /C,- Utility Authorization No. Existing Service /C-e Amps l. r'/ (%Volts Overhead`] Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead ead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 1 3 S ve.-- 1 Location and Nature of Proposed Electrical Work: Mtn' Completion of thefollowingtable may be waived by the Inspector of Wires. 'k No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total o( Transformers KVA =.t No.of Luminaire Outlets No.of Hot Tubs rC\ Generators KVA �i' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting ¢rnd. grnd. � Battery Units ;;" No.of Receptacle Outlets No.of Oil Burners ..; FIRE ALARMS No.of Zones ,; No.of Switches No.of Gas Burners 'No.of Detection and i,,• , Initiating Devices No.of Ranges No.of Air Cond. r otal No.of Alerting Devices Tons No,of Waste Disposers Neat Pump I Timber Tons KW No.of Self-Contained Totals:L Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 MunicTpaf Connection 0 Ci a 1�' No.of Dryers Heating Appliances KW Security systems:* No.of Water No.of No.of Devices or Eq ntuivale Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: txr' ttach 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:7,27 ,2 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 BOND 0 OTHER 0 (Specify:) I certify,under the pains and enables of perjury,that the information on this application is true and complete FIRM NAME: Cc-d < - � /��?! � � LIC.NO. ��-- Licensee: ( f €'7 o` er �`_. Signatur <aC/ /e/6. LIE.NO.: .;? (If applicable,enter"exempt"in the license number line.) Bus.T G Address: el•N Alt.Tel.Ni.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. / ��V 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. Owner/Agent Signature Telephone No. I PERMIT FEE:$