HomeMy WebLinkAboutBLDE-23-15879 - �� Commonwealth of Massachusetts Y ° P
*% _ Town of Yarmouth °
ELECTRICAL PERMIT �r."
Job Address: 32 WEST WOODS VILLAGE Unit:
Owner Name: MATRASCIA LUCILLE BENYO JOANNE
Owner's Address: 32 WEST WOODS VILLAGE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15879
Existing Service Amps/Volts Overhead 0 Underground ❑ No.of Meters:
New Service Amps I Volts Overhead ❑ Underground El No. of Meters:
Description of Proposed Electrical Installation: TWO DEDICATED CIRCUITS FOR SHOWER(781-831-4887)
No.of Receptacle Outlets: 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 El No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub El 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 El 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 0 Level 1 ❑ Level 2 El Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: May 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ANDREW CIRIGNANO License Number: 22192
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 74 Clyde 0 Bostworth Rd Halifax MA 023381382
Email: ajcmasterelectrician@gamil.com Business Telephone: 781-831-4887
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 ficial rse on y,
Permit No.: 7�D tf — of 3 - /5-r, 7
' -*_ ! � Department of Fire Services Occupancy and Fee Checked:
=1 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
fi
y`' 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: S -I -2c23
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): -3a G)PS ' Liexcls. Unit No.:
Owner or Tenant: Ltl ,�fr.� vjej oR)f?�' sc, . 6,814G Email:
Owner's Address: Phone No.: '0 C/3 9 b s5
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No RI Permit No.:
Purpose of Building: P es'de I Utility Authorization No.: 44
Existing Service: Zex Amps 120 / 2 Yo Volts Overhead❑ Underground ill No.of Meters: I
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: '7..n de? i-eck c IN ICvi/ r 5hCst,.Jt°r
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: 2 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 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 _ Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: Is CC.vC) (When required by municipal policy)
Date Work to Start: S—I)- 2o'3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ,4J L }445 kf' acfri,Lii 14 C A-1 pi or C-1 0 LIC.No.: A SZ- .rl_
Master/Systems Licensee: And pe d C s— .vl4 rx,1 LIC.No.: 'Z` l c,a - A—
Journeyman Licensee: !y'a/`e,...2 ( ,r) w„c) LIC.No.: it/,33'. 7- LQ
Security System Business requires a Division of Oc'dupational Licensure"S"LIC. S-LIC.No.:
Address: 74 (f el e Otan st...).othi I?cL , /4 Aq 0 .3..3
Email: CA:JC 1MQ5+trc/e t+Cic i c.✓1 Q 5ivtc,-i 1• c j1. Telephone No.:_2k1- .P3 I t/gv
I certify,under the pains and penalties of perjury,that the information this application is true and complete.
Licensee: A, Qr.�,, (rl�.y pV Print Name: 41,, Cell.No.: f" '/-�3/ ' 98r7
INSURANCE OVERAGE: nless waived by the owner,no permit the pe ormance 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 ame to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify:
OWNER'S INSURANCE WAIV R: I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By my signature bcflOtw,TIerpbyrwiFirliitraptivi ement. I am the:(Check one)Owner 0 Owner's agent 0
Owner/Agent: 1 I" �" Tel.No.:
Signature: i - Email.:
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