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HomeMy WebLinkAboutBLDE-23-19730 10/24/23,2:03 PM about:blank Commonwealth of Massachusetts 0v ';Y'4 u Town of Yarmouth �� , , , , , 41, iY ELECTRICAL PERMIT '` y Job Address: 121 SILVER LEAF LN Unit: Owner Name: AGELOPOULOS JAMES L LIFE ESTATE AGELOPOULOS DEAN J Owner's Address: 1058 ALBEMARLE RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19730 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: generator 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: ln-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: $ 0 Work to Start: October 24, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: DANIEL J WELCH License Number: 25980 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: 27 Quaker Village Ln E SANDWICH MA 025371347 Fee Paid: $250.00 Email: 5082748262@tmomail.com Business Telephone: 508-274-8262 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: (U( /2:5 rev Cd, , t t omSE404-t , Xri2. . .i.�,�t�7i.1Slag C1-(gek_trb�2 \pe i a- eDOv rya/viler,- 4 ipo n J . &al) Get toiv7(2- 14-- about:blank 1/1 Commonwealth of Massachusetts Off 1 Use Onl j) Permit No.: 161.Dc "/3 N ✓9�3(1 T —_ 11,1i== t Department of Fire Services Occupancy and Fee Checked: -11 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] y: 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: To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): j ? I I rIUe�I t Si" 1.--- F1 Unit No.: Owner or Tenant: V e o v 11 by o ct 1a > Email: Owner's Address: ft xH .. Phone No.: 6 /7 -25 4 - cr7 ?S Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: It r r,,'1,--t,, Utility Authorization No.: Existing Service: /c r Amps?tt0 / `z L. Volts Overhead ID Underground❑ No.of Meters: I New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: t- Vt'`-t`e4 e+ 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 0 No.of Devices: Swim.ning Pool:In-Grnd.0 Above-Gmd.0 Hot-Tub 0 — 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 0 Ground-Mount❑ Level 1 0 Level 2 0 Level 3 ❑ fRirE C ^ I Vt P. D OTHER: .._..._ `� 4� Attach additional detail if desired,or as required by the Inspector of Wires. 3 Estimated Value of Electrical Work: (When required by ' i�aal cpolic - B ILUING DEPART Date Work to Start: Inspections to be requested in accordance with MEC R 1e10,andpon com !eft ►. FIRM NAME: A-1 ❑ or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: -©Ll Weleill LIC.No.: F 7544 6 Security System Business requires a Division of Occupational Licensure"S"LIIC. S-LIC.No.: Address: 7 Qu i, kci V, It 4,9, Lk1 5uLt Ile. /, `I Email: - Telephone No.: 70 1, A 7,1 5 2 . I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: L. iq ': -L L. Print Name: i7c. Pi /J c./4 Cell.No.: - 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"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof offie to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ 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❑ Owner/Agent: Tel.No.: Signature: Email.: /" y4 0 b, l.Q.