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Home My WebLink AboutBLDE-23-15997 6/6/23,6:46 AM about:blank - \ ' Commonwealth of Massachusetts •Y* ;'��,, Town of Yarmouth 0- I ELECTRICAL PERMIT ` 1y Job Address: 45 LOWER BROOK RD Unit: Owner Name: WHITEHURST BRETT B AYALAALLYSON N Owner's Address: 45 LOWER BROOK RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15997 Existing Service Amps/Volts Overhead ❑ Underground❑ No.of Meters: New Service Amps/Volts Overhead 0 Underground❑ No.of Meters: Description of Proposed Electrical Installation: Kitchen renovations, dishwasher, range, island, & recessed lights. No.of Receptacle Outlets: 6 No.of Switches: 4 Generator KW Rating: Type: No. Luminaires: No.of Recessed Luminaires: 5 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: $ 1,800 Work to Start: June 6, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: BRYANT K DUNDON License Number: 53109 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: MASHPEE, MA, 026493458 MASHPEE MA 026493458 Fee Paid: $75.00 Email: dundonelectric@gmail.com Business Telephone: 774-994-1092 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: CZ0_,e4,4 c (v5 cv_o_ 1(t4( ra--- about:blank 1/1 (50 .i1 elec.//r c- 5 4,/ •L e.,--,--, Chi-c-c-. / c0 O 2..s, C/- Official Use Only _ �_Cor lonwealth of Massachusetts Permit No.: 1�,,Z� 5et9 " ),v:.'' 02 2023 te,artment of Fire Services Occupancy and Fee Checked: I j BOARD OF DIRE PREVENTION REGULATIONS i [Rev. 1/2023] )t,'AR r kit r.1 I ` z - - 4'ION 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: To the Inspector of Wires:By this application,the undersigned gives notice l of his or her intention to perform the electrical work described below. Location(Street&Number): `5 7/ 2oi,✓e( /)(c ( f J Unit No.: Owner or Tenant: of t/ GJArj'e 4,,, 7- Email: Owner's Address: ., Phone No.: 2 T y ,3Z 6 lv e5 Is this permit in conjunction with a building permit?(Check appropriate box) -•(1 ;t NL Permit No.: Purpose of Building: Uti i Authorization No.: Existing Service: (c o Amps , /Z yc)Volts Overhead❑ Underground j] No. of Meters: 1 ,. New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: d Description of Proposed Electrical Installation: 0 4 ,fit,,5.,, , ,,J ee.c..e6 5 I to J Completion of the following table may be waived by the Inspector of Wires. -I. No.of Receptable Outlets: No.of Switches: z Generator KW Rating: Type: -� rs No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: d 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 0 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 0 No.of Outlets: tNo.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 0 Level 1 ❑ Level 2 0 Level 3 0 Rating: OTHER: J Attach additional detail if desired,or as required by the Inspector of Wires. '4. Estimated Value of Electrical Work: /fc>U- vU (When required by municipal policy) o Date Work to Start: Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. e/ F � t= ,�, — A-1 ❑or ❑ LIC.No.: FIRM NAME:�v t,�, f v�Ci� � `) Master/Systems Licensee: LIC.No.: != Journeyman Licensee: 6t- f .2c n LIC.No.: ,c-3/c ✓) . Security System Business requires a Division of Occupational Licen.,ure"S"LIC. S-LIC.No.: c— C Address: C 7 .> e.u.,-..,s c,i / 5 ejte /l f r>,_,C Y 9 — 1 Email: e)v,.-7 e)G I e(p e f!,c_ 3.e-E.4 r f - c. e Telephone No.: -7 L-./ 7 a1 L/ /G c, I. , I certify,undo.the pains and penalties of perjury,that the in ormation on this a plication is true and complete. Licensee: T70,i+ �\ Print Name: )� c;,,,,1-- f� Cell.No.: 2 7 7r 2. cif - INSURANC � OVERAGE: Unless waived by the owner,no petytfit for the performance of electrical work may issue unless the licen§ee -,. 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❑ Specify: OWNER'S INSURANCE WAVER: 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❑ Owner/Agent: Tel.No.: Signature: Email.: