The URL can be used to link to this page

Home My WebLink AboutBLDE-23-19759 PM -- about:blank Commonwealth of Massachusetts ©F • Y�`�-' , ' Town of Yarmouth .., ELECTRICAL PERMIT ,% Job Address: 78 WEIR RD Unit: Owner Name: EMMANUEL JUNIOR SOUVERAIN ALTAGRACE KS Owner's Address: 78 WEIR RD Phone: Email: Purpose of Building Residential Is this permit in conjunction with a building permit? No Utility Authorization No.: Permit Number: BLDE-23-19759 Existint, Service Amps/Volts Overhead 0 Underground❑ 9 No. of Meters: New S fre Amps/Volts Overhead ❑ Underground❑ No. of Meters: Descri 0 of Proposed Electrical Installation: Replacement boiler. No.of I<-ceptacle Outlets: No.of Switches: Generator KW Rating: Type: No.Lur mires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: I No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space f ,,,,ling KW: Heating Equipment KW: No. Motors: Total HP: Total KW: — No. He--„ Pumps: Total KW. Total Tons: Fire Alarm System 0 No.of Devices: - Swimming Pool: In-Grnd.0 Above-Grnd.0 Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil; ,rners: i No. Gas Burners: Video System ❑ — Y No.of Devices: No.Air r;,;nditioners: Total Tons: Telecom System 0 YNo.of Outlets: No Er ;Storage Systems: KWH Storage Rating: SecuritySystem ❑ Y No.of Devices: Sc,or t" ;W DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No ofI• •idles: Roof-Mount Ground-Mount❑ PPY -------.- Level 1 El 2❑ Level 3 0 Rating: Estima'c d Value of Electrical Work: $ 1 Work to Start: October 30, 2023 FIRM t•-•ME: Mast. stern and/or Journeyman Licensee: ROBERTA SOUSA License Number: License Number: 40596 Sec: ;ystem Business requires a Division of Occupational Licensure "S„ ! Au ire Fee Pa ,: Osterville, MA, 026550014 Osterville MA 026550014 FicePai Number: id: $50.00 Email: ; `2ertsousa34@gmail.com Business Telephone: 508-420-0785 INSUf=<,: 4CE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the lic lse rovides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The un e ed certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. IN :Ut- ECE: (C S L<//I 2 i f abc. 1/1 --' RECEIVED ?. - 0 cf2) ...#- -- CT 302 Eimmclnwealth of Massachusetts Official Usep�tly L / �y_n Permit No.: / � ( /7 j-I ; — ;,J' DEPARTMF'�}�V Ortment of Fire Services Occupancy and Fee Checked: 6 -`- m O ! e €11 E PREVENTION REGULATIONS I 1/2023] •. _ Rev. y�''''—'Nig APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • Date: ) i' - )n 2 To the Inspector of Wires:By t is application,the undersigned gives notices of his or her intention to perform the electrical work described elow. Location(Street&rNumber): 6 laCit. /2ii Unit No.: Owner or Tenant: C.nmj 4)U 6 L j�tu$NZ Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Vvi e > y‘. ), 6-(: f2 — aa./dt� 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: yp 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.Air Conditioners: Total Tons: y 0 No.of Devices: 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 Pp e OTHER: ❑ Level 1 ❑ Level 2❑ Level 3 El Rating: _:_.) Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME:Re)a54.3iri AA SD c-s 44 ..,,L_ A-1 ❑or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee:R.60-64„S„, �- 4"Q S5 LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: R. ,g ryc I D?�E.a..—i le po) Gc 6 f -- Email: R.d b ta.� $ i M 3 4 6 miry), L , G o:'1 �� Telephone No.: 5 g, y(.4, --62,ge5 I certify,un r he pains and penalties of perjury,that the information on this application is true and complete. Licensee: A j(` �.., Print Name: ,),,r,--�' 5z2>'sq INSURANCE COVERAGE: Unless skived by the owner,no permit for the performance of electricalwork No.:s uCu �U' b ee�t�; provides proof of liabilityincluding may issue unless the licensee `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: INSURANCBq 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.: