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BLDE-23-19897 Mass RR light
11/28/23,5:23AM about:blank Commonwealth of Massachusetts �©v y-i *, Town of Yarmouth � o �` ELECTRICAL PERMIT } ,, f Job Address: 69 RIDGEWOOD DR Unit: :qtk,S( Lal-E ra-L__ a/1‹..., Owner Name: HARTNETT RICHARO-G HA T.DONNA M Owner's Address: 69.RIDGEWOOD DR Phone: Email: Purpose of Building Commercial Utility Authorization No.: 14285369 Is this permit in conjunction with a building permit? No Permit Number: BLDE-23.19897 ' Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters('//c4.jh) o: Description of Proposed Electrical Installation: Provide power to railroad crossing signals +L 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 ❑ Y No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ Y 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: $2,100 Work to Start: November 27, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JOHN C SHERIDAN License Number: 1083 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: TEMPLE, NH, 030844219 TEMPLE NH 030844219 Fee Paid: $100.00 Email:john.sesnh@gmail.com Business Telephone: 603-801-0781 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: fi U(//' &) 4 2.E.(25 et..... about:blank 1/1 ) n be4tk,W1 Lo 9 1Z. of q c wow/ D + g 1 I it),E4 Y arrnOw-frik. KA_ i if __ Commonwealth of Massachusetts A1ripl,IJsre 0(69 �'—* — / Permit No.: !�7 7 _---.� Department of Fire Services r — Occupancy and Fee Checked: I_i- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] `-`' 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 •To the Inspector of Wires:By this a pl' lion the undersigd Date: i g' es n t' e`s of his or her intention to Unit No.:the electrical work described below. Location(Street&Number): � Q. 0 Owner or Tenant: S TA Owner's Address: RI Email: �R 1/41f O ittcv,fri t 61 3 Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No❑Permit No.: Purpose of Building: Existing Service: Utility Authorization No.:1,LI t? -1E�' Amps / Volts Overhead 0 Underground❑ No. of Meters: New Service: ; Amps 2`i1 / i e.Volts Overhead❑ Underground ID No. of Meters: Description of Proposed Electrical Installation: 16 U./err) /Lk C oSS(,1 Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: No.Luminaires: Generator KW Rating: Type:. 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: Swimming Pool:In-Grnd. Fire Alarm System 0 No.of Devices: 0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: No.Air Conditioners: Video System 0 No.of Devices: Total Tons: Telecom System No.Energy Storage Systems: y 0 No.of Outlets: KWH Storage Rating: Securit System stem y 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Su 1 E ui No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1pp q pme �+ OTHER: ❑ Level2❑ Level3 0 )Piai,,. is ' Attach additional detail if desired,or ase,rg uired by the Inspector of Wires. Estimated Value of Electrical ork: 1-106 .G 0 Date Work to Start 2 I (When required s �fpgETMENT nspections to be requested i n accordance with MECRul :, . FIRM NAME: Master/Systems Licensee: �o$3 /f)2 A-1 El or C-1 0 LIC.No.: saukh h�aditti LIC.No.: Journeyman Licensee: j Z 06 LIC.No.: Security System Business requires a Division of O`upational I,icensure"S" . Address:\ P� Fe t-l s -T eio Pie. V l IC /i S-LIC.No.:G Email: hi.515tr_i14 CsV 1j'(_ .0 b wt Telephone No.: I certify,under the pains and penalties of perjury,that Me informatio de this a lication is true and complete. Licensee: / / Print Name: °�'Vle[r(/ �j INSURAN C�ERAGE: Unless waived bythe owore ��� Cell. No.: (z{f �U-(j�•�f3 fPr rical work may iss--ue unless the licensee provides proof of liability including"completed operation"coverage orr its substantiaperl equivalent.The ormance of tundersigned certifies that such coverage is in force and has exhibited proof o e to the permit issuing office. CHECK ONE: INSURANCEU 0 OTHER❑ Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability required by law.By my signature below,I hereby waive this requirement. I am the:(Check one)Owner(] Owner's gent[] Owner/Agent: Signature: Tel.No.: Email.: `•\ • I ,a / 'N -I. 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