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HomeMy WebLinkAboutBLDE-23-15865 #6 Commonwealth of Massachusetts v Y4 '.,
*.aij - Town of Yarmouth
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ELECTRICAL `,
PERMIT , .. � ,.
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-23-15865
Existing Service Amps/Volts Overhead 0 Und rground ❑ No.of Meters:
New Service Amps I Volts Overhead erground 0 No. of Meters:
Description of Proposed Electrical Installation: Heat, light, &p we (UNIT#6)
No.of Receptacle Outlets: No.of Switches: Ge 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: In-Grnd.0 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 El 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 El Ground-Mount❑ Level 1 ❑ Level 2 El 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 _=.�,a
"S" LIC. License Numb .
Address: Dennis, MA, 026382515 Dennis MA 026382515
Email: cunnyelectrical.yahoo.com Business T ephone: 508-523-0033
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of el trical work may issue unles e
licensee provides proof of liability insurance including "completed operation"coverage or its sub ' e uivalent. T
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
a\,„„_ vL. 1 vcc____.,
•
' RECEIVED
MAY 0 9 iamim vealth of Massachusetts Official Use nl
/, Permit No.: ��j-- 6j
j Dena ment of Fire Services Occupancy and Fee Checked:
`i " ` d1 � �$ 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), 527 CMR 12 00
City or Town of: YARMOUTH • Date: (3457090 ?
To the Inspector of Wires:By this applies the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): b� l / 5,fr— Unit No.: Ll fr' '
Owner or Tenant: Sra 2�1117er Email:
Owner's Address: �jS / C .�� Phone No.: 7t /` 3'7 f ,
Is this permit in conjunct' with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: { p Ditie7zia,6 Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: /00 Amps %, /I l Volts Overhead Underground❑ No.of Meters:
Description of Proposed Electrical Installation: t 4I/ f%if/C. t/r /y1rt ji i 71-4.0
Completion of the following table m be waived by the Inspector of Wires.
No.of Receptable Outlets: o.of Switches: Generator KW Rating: Type:.
No.Luminaires: No.of Re essed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: o.Water Heaters: KW: No.Transform s: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: To I KW: Total Tons: Fire Al ystem 0 No.of Devices:
Swimming Pool:In-Grn .❑ Above-Grnd.0 Hot- b❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System
No.Air Conditioners: Total Tons: y ❑ No.of Devices:
Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: SecurityS
Solar PV KW DC Rating: Solar PV KW AC Rating: System
0 No.of Devices:
No.of Modules: Roof-Mount 0 Ground-Mount No.of Electric Vehicle Supply Equipment:
OTHER: El 1 0 Level 2 0 Level 3 0 Rating:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
Date Work to Start:�'�, �/, (When required by municipal policy)
.�3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 6I1/1 /J2Cg/ l°f L7LZ> fv'7t
' A-1 El or C-1 0 LIC.No.:
Master/Systems Licensee: / 41,134949 r/ 64,4..//e7/ 4 LIC.No.: /4 'gt/4t7
Journeyman Licensee: N
aj �/fl/t/t/ / / LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email:
Telephone No.:
I certify,under the pains and penalties of perjury,that the i or ation on th' plicat. n is true and complete.
Licensee: ' hive/ ,�A Print Name: / r! 11
INSURANCE COVERAGE: Unless waived by the owner,no permit for the pe orman a of electrical work may Cell. issunless he 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 s
CHECK ONE: INSURANCE BOND permit issuing office.
❑ OTHER OWNER'S INSURANCE WAIVER: I am aware that the Licensee Licensee does not have the liability
required by law.By my signature below,I hereby waive this requirement. I am the:(Check one) wner 0 Owner's agent 0
Owner/Agent:
Signature: Tel.No.:
Email.: