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Home My WebLink AboutBLDE-23-18960 6/20/23,6:39 AM about:blank Commonwealth of Massachusetts �. ..� �° Y4 ' * Pi Town of Yarmouth �' a° :O y ► ELECTRICAL PERMIT , " Job Address: 478 HIGGINS CROWELL RD Unit: Owner Name: SLOMBA JONATHAN P Owner's Address: 478 HIGGINS CROWELL RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18960 Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No.of Meters: Description of Proposed Electrical Installation: Water/fire damaged home. 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 0 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: $ 18,500 Work to Start: June 9, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: THOMAS P SULLIVAN License Number: 18182 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: COTUIT, MA, 026353517 COTUIT MA 026353517 Fee Paid: $75.00 Email: tpsullivanelectric@live.com Business Telephone: 508-280-5616 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: 46„-k - 5 (6 (6,.) 3 FA-No a I Fa%Air Da.,f). 1,0 ci,4 6bof23 Ci-i/- 4.901-te Aqte �/ Z1/4.,,v,t4 ct\k 4,2_--5 v__,..... An144._ Die site✓,- 3 i i or SF-c_.4t cb. /Z/2 j/Z 3.. about:blank 1/1 $ RECEIVED . }� — _ nweaLth o f Ma schuss Official Use Only iisli ww.,JUN 16 2023 a�3 - ( ef,(e0 w t cc--�� f� Permit No. e nt o�,}ire Serviced I " z T=i;t ili DEPARTMENT Occupancy and Fee Checked _ PREVENTION REGULATIONS 1 '�:,;j��„�'4__— [Rev. I!4?] (leave blank) i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/15/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)478 HIGGINS CROWELL Owner or Tenant SLOMBA Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box) QPurpose of Building DWELLING Utility Authorization No. Existing Service 100 Amps 2 4/ 0 Volts Overhead 2 Undgrd❑ No.of Meters 1 I New Service 100 Amps 2 4/ 0 Volts Overhead® Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: WATER DAMAGED HOME COMPLETE REWIRE WITH PANEL RELOCATION Completion of the followinKtable may be waived by the Inspector of Wires. ? No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No,of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones '..--.A No.of Switches No.of Gas Burners Total No.of Detection and C Initiating Devices �"J No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other .}...--' nection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of KW Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 18500 (When required by municipal policy.) Work to Start:6/9/2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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. CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Spe ` :) I certify,under the pains and penalties of perjury,that the infor 'ti r n on t application is true and complete. FIRM NAME:THOMAS P SULLIVAN LIC.NO.:E31011 Licensee: THOMAS P SULLIVAN Signa� / .�i_if LIC.NO.:A18182 (If applicable,enter"exempt"in the license number line) / r Bus.Tel.No.:508/280/5616 Address: 71 WAQUOIT ROAD Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires 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. 1 PERMIT FEE:$-5—...--