HomeMy WebLinkAboutBLDE-23-19878 11/21/23,6:16AM about:blank
. Commonwealth of Massachusetts yA t{
* ` Town of Yarmouth , , of
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ELECTRICAL PERMIT ,, ,f
Job Address: 49 COGSWELL PATH Unit:
Owner Name: GONSALVES KAREN K
Owner's Address: 49 COGSWELL PATH Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 15415318
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19878
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: iZ
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: rL-X-�
Description of Proposed Electrical Installation: Upgrade service gJ S/90-a
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: $ 3,300 Work to Start: November 24, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
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:
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Commonwealth of Massachusetts Official Use Only
*=_-—r PermitNo.:6z3 —\c 'r 7
r _ 'l/i_—5' Department of Fire Services Occupancy and Fee Checked:
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Ii- v 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), 5 7 C R 12.
City or Town of: YARMOUTH • Date: / ) 20/202 i5
To the Inspector of Wires:By this appl'c on,the undersigned gives notices of hiior her intention to perform the electrical w k described below.
Location(Street&Number): L4 C 0 Cr c L..t 1 e_f 1 -4f j '"'�'r
Unit No.:
Owner or Tenant: K. 4te ,ery S-/L-V'Z.--S Email:
Owner's Address: `tet co ;-1,,.,t ti hit,' i,,,zsr ysla24,14.4.-O/ Phone No.•
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No giermit No.:
Pur
pose of Building: j-5'ek-tf 1 c-e. Cl/w4'1"" Utili Authorization No.: / 5�{/�".;3 i
Existing Service: /<5 o Amps/Za / 'C /olts Overhead[Underground❑ No. of Meters:
New Service: C2 Amps�� p /X/140 Volts Overhead[/�'�Jnderground❑ No. of Meters:
Description of Proposed Electrical Installation: tS,-c'P16 ,£' /5a,' eve - ,..-e c'e� ..'
ALA- z- Et ['=.. G 44- 1 wt F-� ,IV& ) etit•3/r mikrm4r,%t 5 ee-4 k. 0,,
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: 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.0 Above-Gmd.0 Hot-Tub 0 _ 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 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of De�vlst,4a. —
p nett
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equi :ii C [ q \
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 �g:
0 Level 2❑ Level 3❑' Ring: - - 1
OTHER:
......... . ...........
NOV 2 0 2023
Attach additional detail if desired,or a re uired by the Inspector of Wires. I F-3 I t :01 r. .1 E PAR 1 tvt E N T
Estimated Value of Electri al Work:'3 300 (When required by rnunicipal,polic.�t
Date Work to Start: / 1 u2 L{/2 c)- Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: / f L S' 4:6ftie-`lL I A-1 [z}'or C-1 0 LIC.No.: 139�1G
Master/Systems Licensee: ) LIC.No.:
Journeyman Licensee: A/, i( 5 `ta '•'.' LIC.No.: (= 2-7 i3 9'/
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: LI 'rLt4-i tS C /-GS i 74a6't ,,/7'
f
Email: lc) e t to I/ rre Ccx v1 t:.c:Str •4..e '� ���'
Telephone No.: 0�- _ 's "
I certify,under se pains an penalties of perjury,that the information on this application is true and complete.
• Licensee: if �A� ' . Print Name: Ate,'
.S ex'/ I 6 e� �=-.• Cell.No.:
INSURANCvEOVERAGE: Unless waiy.ed'by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"corn, -ted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s. e to the permit issuing office.
CHECK ONE: INSURANCE Hi 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.: