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Home My WebLink AboutBLDE-23-19926 11/30/23,6:33AM about:blank Commonwealth of Massachusetts ©F •* yA� Town of Yarmouth i 0 u Nyy .bi, y ELECTRICAL PERMIT Job Address: 709 ROUTE 6A Unit: Owner Name: HURLEY JOSEPH P Owner's Address: 709 ROUTE 6A Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19926 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Wire shed 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: November 25, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: RICHARD T MCKENZIE License Number: 28006 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: SOUTH DENNIS, MA, 026602359 SOUTH DENNIS MA 026602359 Fee Paid: $50.00 Email: richmckenzie55@yahoo.com Business Telephone: 508-776-3361 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: ( a 114 k1'z- r about:blank 1/1 Commonwealth of Massachusetts Official use On Permit N .. ' ;-- t Department of Fire Services Occupancy and ee Checked: � -__-= BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] ''''-`.14 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: //-2,7-- 22 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): 70 `7 b'A2 Unit No.: Owner or Tenant: //1,Q,71ji7 f/v -JP ,r Email: Owner's Address: S-4i'%k Phone o.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No[Permit No.: Purpose of Building: 5e �k cc c - Utility Authorization No.: Existing Service: Amps /� /2-* Volts Overhead Underground 0 No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: - ECr Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:x N°V 2 9 L g029 1 1 Rating: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW .7 No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total fV3A1ILDING DEPARTMENT Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total.•---------._�_ No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System No.Air Conditioners: Total Tons: 0 No.of Devices: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System y 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 0 Level 1 0 Level 2 0 Level 3 0 Rating: OTHER: 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: //— 25.--a3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I FIRM NAME: ,,:i..447:e %/ c-iee//,- �/// �/�'i�X'Wia.,l.) A-1 0 or C-1 ❑LIC.No.: Master/Systems Licensee: �lve � / LIC.No.: 4.2 Journeyman Licensee: /C�/'`l eV,�/-e; LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: 5 Address: J 62Q ve_ C,e/e— D 2 c.//j445 Email: �'/�4 !J1 c,1�-e.v z/c.� i!�� l/'�>-�� aLio, , Co Az_. Telephone No.: So, 77 --3 / I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: Print Name: /[l�j�� eA,-4/,‘-? -Cell.No.: „c--tr 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 o�f�s e to the permit issuing office. e CHECK ONE: INSURANCE E BOND 0 OTHER 0 S eci OWNER'S INSURANCE WAIVER: I am aware that the Licensee doesfy: �� /ave the lity�// ��required by law. By my signature below,I hereby waive this requirement.I am the:(Check one)Owner 0 Owner's normally Owner/Agent: ❑ Owner's agent❑ Tel.No.: Signature: Email.: