HomeMy WebLinkAboutBLDE-23-19962 12/5/23,6:38AM A1 about:blank
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ELECTRICAL PERMIT
Job Address: 10 LITTLE DIPPER LN Unit:
Owner Name: DIGREGORIO VITO
Owner's Address: PO BOX 1093 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19962
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wire 2 bathroom circuits, install exhaust fan &2 light fixtures.
No.of Receptacle Outlets: 1 No.of Switches: 1 Generator KW Rating: Type:
No. Luminaires: 2 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: $ 2,800 Work to Start: November 29, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT S BRIGGS License Number: 25373
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: North Falmouth, MA, 025560079 North Falmouth MA 025560079 Fee Paid: $75.00
Email: wightmanconstruction@yahoo.com Business Telephone: 508-566-9478
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 cgu a l sec4ycCO -
Permit No.:
_ t_u t Department of Fire Services Occupancy and Fee Checked:
-11 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),52 CMR 12.00
City or Town of: A['INV)L.. Date: 1 1 113
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): to L.,t-t*'te,T l p(d\(' L„r\t `, Unit No.:
Owner or Tenant: V i-t- a l(3 re Xfvs Email:
Owner's Address: ale '(�% Liime, Phone No.: q`"—Cno-b 4\ 1
Is this permit in conjunction with a building permit?(Check appropriate box)Yes(1/ No 0 Permit No.:
Purpose of Building: Uti ' y Authorization No.:
Existing Service: tbC Amps / Volts Overhead Underground 0 No. of Meters: i
New Service: Amps / Volts Overheada 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: W o-e- a. GPFlytt1 b Vvl CI Pat-t4S I IN S vYi t
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Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: t 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-Grad.❑ Above-Grnd.0 Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:." REP
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: - I b� 7 D
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devicesx k
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: 6 ' NOV 2 9 ZC 13
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level I ❑ Level 2❑ Level 3❑ Ratin : 1.'7
OTHER: t B r.SI n CI tYE PA TM EN.
By.
Attach additional detail if desired,or atr1 aired by the Inspector of Wires.
Estimated Value of Electrical Work: 1��� (When required by municipal policy)
Date Work to Start: t st 3 Inspectionst' to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Est 6- A-1 ❑ or C-1 Ej LIC.No.:
Master/Systems Licensee: LIC.No.: i 2--� 3-j'1
Journeyman Licensee: - 1-,3 7- LIC.No.:
Security System Business requires a Division of OccuOc ation f�Licensure"S"LIC. S-LIC.No.:
Address: ) C ' 7'7 N to AO*'IV 3 5 2 3
Email: \, Telephone No.: 5 $%- 67 6' 7 e'/ 7
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: '''r,,C (7-j Print Name: KO(A'K' 1 /)e j 6Cell)No.:
INSURANCE COVERAGE:U' ss 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 of same to the permit issuing office.
CHECK ONE: INSURANCE❑-_BOND❑ OTHER 0 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email. 3 k\ AK) cis k rt'La-C1lob's 'vi oo
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