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HomeMy WebLinkAboutBLDE-23-19899 1 /23 :36 AM about:blank Commonwealth of Massachusetts A. © � ' * ? Town of Yarmouth MP f a ' a ¢'O ''. :, y 11 ELECTRICAL PERMIT � F ' Job Address: 14 BLUEBERRY PATH VILLAGE Unit: Owner Name: HUGHES JULIE FALLON Owner's Address: 2545 PENN AVE UNIT 501 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19899 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: add smoke detectors in basement 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: $ 270 Work to Start: November 27, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JACK GRIFFIN License Number: 54823 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: YARMOUTH, MA, 02664 YARMOUTH MA 02664 Fee Paid: $50.00 Email: ariajwg2@gmail.com Business Telephone: 1111111111 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: W tQl C 1/1 about:blank CE VE ® { NOV 2 1 'A'-. 1, [#a�1/laeaac .t#a Official Use Only amnwnwsa pp �y >e ' c� Permit No. e —t U 7 BUILDING D 1 +a 2)spa.tm.nt a j giro Jsrriics s — � Occupancy and Fee Checked ,, / BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07} (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 2 PRINT IN INK OR TYPE ALL INFORMATION) Date: i///W.)-3 City or Town of: /Gi,�'ti2, - To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ! (PLEASE Location(Street&Number) ,- 6/U e i�.. I,,„ , Owner or Tenant It ,TV i 110 Pi 1)C ,1 h u, :1 t 7 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑- Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ElUndgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r; ( - - , Completion of thefollowingtable map be waived by the Inpecfor of Wires. No.orNo.of Recessed LuminairesTrTotal No.of Ceil.-Susp,(Paddle)Fans Transformers KVAformers KVA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4- No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting fund. Li Battery Units �t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Tot i!' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW 'Sio.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municip Connectfon 0 Other No.of Dryers Heating Appliances KW Se uriNo o Systems*.* Devices or Equivalent No.of Watt ers KW No.of No.of Data Wiring: HeaSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP ''Telecommunications iringg: No.of Devices or Equivdent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Z 1 t, , ,, (When required by municipal policy.) Work to Start:II//`i/i 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 Ei BOND ❑ OTHER 0 (Specify;) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: Jc4C 4 tJ-t -(4:t it/ P Ie(-fri t( LIC.NO.: Licensee: ; c'- ��3 & Signature ti (lfapplicable,enter"exempt"in the license number line.) W l� �� LIC.NO.: Address: Bus.Tel No.: Per M.G.L.c. 147,s.57-61,security work requires Alt.Tel No.: Department of Public Safety"S"License: Lic.No. 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. PERMIT FEE:$