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HomeMy WebLinkAboutBLDR-23-15866 #8 r Commonwealth of Massachusetts oc9 YA A,, i Town of Yarmouth ,'. S ELECTRICAL PERMIT 1 -, Job Address: 6 &8 GILBERT ST Unit: Owner Name: AMADUCCI PATRICIA D TR AMADUCCI ADAMS SUZANNE TR Owner's Address: 3510 VISTA CT Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15866 Existing Service Amps/Volts Overhead ❑ Un d ❑ No. of Meters: New Service Amps/Volts Overhead nderground No. of Meters: Description of Proposed Electrical Installation: Heat, light, & owe (UNIT#8) No.of Receptacle Outlets: No.of Switches: a ing: 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: 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: $ 8,000 Work to Start: May 9, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: THOMAS E CUNNINGHAM License Number: 8410 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Dennis, MA, 026382515 Dennis MA 026382515 Email: cunnyelectrical@yahoo.com Business Telephone: 508-523-0033 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: a.4 bi,. (c ___ r(�. ,( 9: ) RECEIVED A�♦_ A�/�NN9 On wealth ofMassachusetts Official Use Only R I Q t Permit No.: Z3-- ( j 6 (j 6j ). 0;_ � D a tment of Fire Services Occupancy and Fee Checked: k..-------_I{= "BOAkti`io FI- PREVENTIONRev. -. ;x� _.__.-- REGULATIONS 1 1/2023] y''—`°` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CtMIR 1 .00 v City or Town of: YA R M O UTH Date: Vs'7 979] To the Inspector of Wires:By this a licatio ,the undersigned Ives notices of his or her intention to perform the electrical work described below. © Location(Street&Number): '//71 sr Unit No.: `) Owner or Tenant: s Email: Owner's Address: ;5� _ 7, i rL - Phone No.: ' Ye ct Is this permit in conjunction ith a building permit?(Check appropriate box)Yes 0No El Permit No.: Purpose of Building: k e'j Dig/ ,l/ Utility Authorization No.: ((� ' Existing Service: Amps / Volts Overhead El Underground❑ No. of Meters: Q,/ New Service: l 00 Amps/...44) /w 0 Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: hi// /�''t (..I Li /77.."1tF I2it/t CCompletion of the following table may be waived by the Inspector of Wires. yJ No.of Receptable Outlets: No.of Switches: Generator KW Ratin Type: '4L) No.Luminaires: No.of Recessed Luminaires: No.Wind Gener rs: Wind KW Rating: wNo.Appliances: KW: No.Water Heaters: No.Transfo ers: Total KVA: Space Heating KW: Heating Equipm t KW: No.M rs: Total HP: Total KW: No.Heat Pumps: Total KW: To Tons: F. Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd. Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: ZNo.Oil Burners: No.Gas B ers: Video System Y 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Securi S tY stem y 0 No.of Devices: c 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 0 Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as re aired by the Inspector of Wires. Estimated Value of Ele trica Wor : , Oti+ (When required by municipal policy) Date Work to Start: � -_.- y O d-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: epv,6160-0.0 tezi S' 1/ A-1 El or C-1 0 LIC.No.: Master/Systems Licensee: .1 / 1//4 j l �✓ VriVt LIC.No.: A SIL C)��� Journeyman Licensee: ZG itip' LIC.No.:/ i ( Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: Email: Telephone No.: I certify,and t pa and p allies of perjury,that the information on is application is true and complete. Licensee: /6114 k. Print Name: iliti-- 9 / l'il Cell.No.: i- s ca)- —,33 INSURANCE COV RA E: Unless waived by the owner,no pennit for the performance bf 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 sa to the permit issuing office. CHECK ONE: INSURANCE BOND 0 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 El Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: