HomeMy WebLinkAboutBLDE-23-19065 7/6/23,6:40 AM about:blank
Commonwealth of Massachusetts �'o .4
* Town of Yarmouth z.� . ' a
$ff ,,
ELECTRICAL PERMIT 4
Job Address: 5 JOHN HALLS CARTPATH VILL Unit:
Owner Name: MARTIN CHARLES E JR TR MARTIN JANE E TR
Owner's Address: 5 JOHN HALLS CARTPATH VILL Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19065
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Unknown
No.of Receptacle Outlets: 20 No.of Switches: 6 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 16 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.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No. Oil Burners: No.Gas Burners: Video System ❑
Y No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑
Y No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: SecuritySystem ❑
Y 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 Work to Start: July 10, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PAUL J VIOLETTE License Number: 20858
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: FORESTDALE, MA, 026441822 FORESTDALE MA 026441822 Fee Paid: $75.00
Email: puljviolette@yahoo.com Business Telephone: 508-304-5575
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:
(1°644 Ce7' /156"="V Ian&PO' 7/--6// 3 e -'
I 9) i (2 ,.
about:blank
1/1
_ 47c 60 (-14-01 54.94
EC `-lVED
1 mmonwea/th of Massachusetts Official Use On C n r/2U�J ! Permit No.: 23 — ( [ ( t (�
i : i� Department of Fire Services Occupancy and Fee Checked:
I...-4 IF 4 BOAF D 1OF FIRE PREVENTION REGULATIONS [Rev. I/2023]
BUIL%!
BY. `=`rr--•---A-RPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 C R 12.00
City or Town of: YARMOUTH Date: `7 /LS- 3
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): ,j .i4 h,., t4c 1) Cc,r 4 1,-YA
1 Unit No.:
Owner or Tenant: c In wr I.4 1 01 c. -.F,,, T Q `Email:
Owner's Address: C. c4 r7-. a Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes INo❑Permit No.:
Purpose of Building: j f'/4 Al . Utility Authorization No.:
Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
New Service: Amps / Volts Overhead❑ Underground g 0 No.of Meters:
Description of Proposed Electrical Installation:
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: ,A 0 No.of Switches: C, Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: / Ca 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.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System
No.Air Conditioners: Total Tons: y 0 No.of Devices:
Telecom System❑ 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 El Ground-Mount
No.of Electric Vehicle Supply Equipment:
OTHER: ❑ Level 1 El Level 2 ElLevel 3 0 Rating:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
(When required by municipal policy)
Date Work to Start: 7lt p ? Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: f n .4 • 1 , L L C
A-1 El or C-1 0 LIC.No.:
Master/Systems Licensee: 0 $S A-
LIC.No.:
Journeyman Licensee:
LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC.
S-LIC.No.:
7 Address: L., - i-
UC) Co
9 Email: e t a�c�tcr/- err c
f--v•c✓•1- 1 a(e ►t'I!t Telephone No.: -,s- 7S—
I certr fy,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee:�, 1 J: �'��M � }
Print Name: ._ ,,1 \/I•c INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may tissue unless the licensee
provides proof of liability including"complete operation"coverage or its substantial equivalent.The undersigned certifies�o 3�
is in force and has exhibited proof of s o the permit issuing office.CHECK ONE: INSURANCE g fies that such coverage
BOND❑ OTHER 0 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❑ Owner's agent 0
Owner/Agent: y
Tel.No.:
Signature:
Email.: