HomeMy WebLinkAboutBLDE-23-15991 6/5/23,3:25 PM / about:blank
Commonwealth of Massachusetts ' =v .YA ''
*401: Town of Yarmouthrif , y
ELECTRICAL PERMIT
Job Address: '7 1)L E(M--Ttr LA V Unit:
Owner Name:
Owner's Address: Phone: Email:
Purpose of \kQe's
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15991
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Master bedroom, closet, & bathroom. (2nd Floor)
No.of Receptacle Outlets: 15 No.of Switches: 13 Generator KW Rating: Type:
No. Luminaires: 3 No.of Recessed Luminaires: 14 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: 1 Total Tons: 3 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: $ 10,000 Work to Start: June 2, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: FRANCIS X MCPARTLAN License Number: 17552
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SOUTH ORLEANS, MA, 02662 SOUTH ORLEANS MA 02662 Fee Paid: $75.00
Email: mcsquinty-@comcast.net Business Telephone: 508-400-0640
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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Permit No.: Z-3 - 15 1�1 C
Department of Fire Services Occupancy and Fee Checked:
D OF FIRE 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: 0-- 2-- Zc 23
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): - �o 4cC2- h 5 Unit No.:
Owner or Tenant: 0-0 ma's Y-( Email: W&c Q 0 i e. c o,nA cI cf , ir44-f
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes�No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead El Underground El No.of Meters:
New Service: Amps / Volts `�, rOverhead❑ Underground El No.of Meters:
Description of Proposed Electrical Installation: tJ 1 Q,� 1 6, M - 7>`.--1'>f(-t1*4 1 e-L4 S4 1
frt-1 ?)/r" - CZ-e2' -- tl-k.); 1wv2_
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: 15 No.of Switches: 1?s Generator KW Rating: Type:
No.Luminaires: 2j 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: y Total Tons: " Telecom System❑ 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❑ Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or es required by the Inspector of Wires.
Estimated Value of Electrical Work: 1 4tbi Oro,-- (When required by municipal policy)
Date Work to Start: (0"2.''7.07i2) Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: I.A 12411-(�-1 c L11Z\ (- tom(Q. A-1 Br C-1 ❑ LIC.No.: 3 C too A I
Master/Systems Licensee: 1 x , {y C?Alum--1 LIC.No.: PC 11-SS?
Journeyman Licensee: t'' �C.r -T1, LIC.No.: 1✓ ii 02.
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 2, > On' 1k-K1 A 0210 53
/Email: � �", SQ l� t 5l A C-fA"T, ) c-l Telephone No.:. � (400 ((AO
t� I certify,under the pains and penalties of perjury,that the information on this a lication is true and complete. t
Licensee: �C.� h CIf,�L1�1i�rint Namec,A�1S`�( 'v 1 (,t� � Cell.No.: 00 00
40
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance 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 sa a 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 0 Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
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