HomeMy WebLinkAboutBLDE-23-19595 9/29/23, 1:40 PM
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Commonwealth of Massachusetts og Y�i
*414-$e Town of Yarmouth aF
fir` ELECT
R I CA L PERMIT }$*E i
Job Address: 15 GROUSE LN Unit:
Owner Name: SULLIVAN STEPHEN P SULLIVAN CHRISTINE A
Owner's Address: 15 GROUSE LN Phone:
Purpose of Email:
Building Residential
Is this permit in conjunction with a building permit? Yes Utility Authorization No.:
Permit Number: BLDE-23-19595
Existing Service Amps 100/Volts
Overhead M Underground❑ No. of Meters:
New Service Amps 200/Volts Overhead M Underground❑
No. of Meters:
Description of Proposed Electrical Installation: Kitchen, 2 bathrooms, bedrooms, & living room remodel. Service upgrade.
No.of Receptacle Outlets: 40 No.of Switches: 28 Generator KW Rating: Type:
No.Luminaires: 9 yp
No.of Recessed Luminaires: 8 No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: 1 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-Grnd.0 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 0
YNo.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❑ pp 3
Level 1 ❑ Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 19,800
FIRM NAME: Work to Start: September 25, 2023
Master/System and/or Journeyman Licensee: CARLOS EDUARDO DE License Number:
OLIVEIRA LOURENCO License Number: 58424
Security System Business requires a Division of Occupational Licensure
"S" LIC.
Address: LOWELL, MA, 01854 LOWELL MA 01854 LicenseiNumber:125.
Email: cedol'electrician Fee Paid: $125.00
J @gmail.com Business Telephone: 1111111111
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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:: RECEIVED
14 _ Co ea&el Mumachwelfs Official Use Only
Bq_ SEP 2 9 202 cc7 {� Permit No 7_,��•3— ?S��S
yrai -=7"l of-tire Jsrvrcal
t _ U ! F,f� r� �1L Occupancy and Fee Checked
C '. "! I)V1- f 1KC P EVENTION REGULATIONS Rev. 1/07)
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
1 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: t, '% - -2,,9 - a 0,23
'-.4 City or Town of: a v' 1/17(01-1/) To the Inspector of Wires:
By this application the undersiggives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) J 5 5 i^(. i N,
. J Owner or Tenant Pcn v i ti) (L,IV i t iI e.,5 v✓t-i o v Telephone No.
4 s Owner's Address i c (�✓'t;vs'-e L h( A fv t/vtO 1tft
0 Is this permit in conjunction with a building permit? Yes2 No El (Check Appropriate Box)
€ Purpose of Building 0 /0 c 0..-to 0) 2, bohlk 004 Vife.litality Authorization No.
1c1))
Existing Service j OC? Amps J.W l a?4i0 Volts Overhead® Undgrd 0 No.of Meters
New Service 62 0 e) Amps i 2t l 40 Volts Overhead Iiil Undgrd 0 No.of Meters
V9 Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: L,r 4✓''t u14� K i 7J e."l vt.,--1. .2 k c4L
Completion of the fotlowingtable may be waived by the Inspector of Wires.
I-I.. No.of Recessed Luminaires y No.of CeiL (Paddle)Fans Tr of i
'Snap• Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
Above In- No.of Emergency Lighting
No.of Luminaires Ci Swimming Pool grnd. ❑ grnd. ❑ Battery Units
„ No.of Receptacle Outlets .1( ) No.of Oil Burners FIRE ALARMS No.of Zones
1.-: No.of Switches J ' No.of Gas Burners "Na.of Detection and
Initiating Devices
1 ., No.of Ranges L No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Heat Pump Number Tons ,_KW . 'Na.of Self-Contained
Disposers Totals: —.F.s. r _4 m Detection/Alerting
No.of Dishwashers L Space/Area Heating KW j Local❑ y Connection ❑ aher
No.of Dryers Heating Appliances KW No.Securif Systems:*
or Equivalent
No.of Water • No.of No.of Data Wiring:
Heaters ...1 , ("
� Sys Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Te leco of Dees or Equivalent
OTHER:
Attach additional detail ifdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: .1 CI ye C (When required by municipal policy.)
Work to Start:9 4—2 5-202 3 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 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains l and penalties of/perjuury,�t)hat the information on this application is true and complete f�
FIRM NAME: ( o- os f-ctvav"ato el?. [l1/vsik"c, Add 'e,v1Co LIC.NO.: $ 4.2 li 13
Licensee: Signature -- ..-'• LIC.NO.:
(If applicable,enter"exem in the license nymber line.) Bus.Tel.No.:
Address: .1.(.2. 1 0 i.Jvt},2."oi c.Jam/ Ld+.t/e-i(I MA (,il fS.f'61 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-51,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)0 owner ❑owner's agent.
Owner/Agent Ciune nn
ture Tplenhe Nit_ FEET $_ ! W.) 00 I