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HomeMy WebLinkAboutBLDE-23-16000 6/6/23;7:13 AM about:blank Commonwealth of Massachusetts y4r * Town of Yarmouth . xa ELECTRICAL PERMIT Job Address: 65 BRAY FARM RD NORTH Unit: Owner Name: BARNES PETER A HASS JULIE A Owner's Address: 2145 OLTESVIG LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-16000 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: EV Charger 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❑ 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 ❑ 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: 1 No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,700 Work to Start: June 6, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: NICHOLAS MCELROY License Number: 22642 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Sandwich, MA, 025632606 Sandwich MA 025632606 Fee Paid: $50.00 Email: office@capecodelectrician.com Business Telephone: 508-566-4489 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: 24 '7 (v 1/1 about:blank • Conmenuvean oil Kaacluostle Official Use Only rw 1` 47 Permit No, a'l..`- t "(• :)`=' /� v �Iftart?Mant o/L' L.Sevicee cee ecked BOARD OF FIRE PREVENTION REGULATIONS RevOccu. 1/07pan]y and diceF,:planChk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATI Date: 1Z ,�'3 City or Town of: � 0(k To the Inspect° of W res: By this application the undersigned ghes notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5, "6r a,rill Rok AJ Owner or Tenant y 'G<,,r 4 Telephone No.cceg8J/o.0.31 13 Owner's Address Is this permit in conjunc on with a bulldlnq permit? 'Yes 0 No El (Cheek Appropriate Box) Purpose of Building ike51 Qt-Qif.+\O k Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Sgrvicg Amps / Volts Overhead 0 Undgrd [J No.of Meters Number of Feeders and Ampacity Location-stnd Nature of Pro El trical Work: toe I''{—so G-Fe.4 pw•f-�-e. f (&sta.t4. Sc Ann p, c ct Cc Completion of thefdllawing table may be waived by the Inspector of Wires. No.of Recessed Luminaires -No.of Cell.-Susp.(Paddle)Fans Trutt erm r, KVA r No.of Luminaire Outlets No.of Hat Tubs Generators KVA No.of Luminaires Swimml Pool Above ❑ fn. © rib.or11 i>ltergett�cy Ltgnwng ng /ra hails ,Batten'lAfti No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No.of Switches No.of Gas Burners °`xtiitiadgt Be es 'rota- No.of Ranges No.of Air Coad, rRII No.of Alerting Devices No.of Waste Disposers 'lent Pump!Amber I.rt,ni.. nor..., -No,of -^► *momTo4)l:l.,.,..... 1 1 r • No,of Dishwashers Space/Area Heating KW Local 0 ' , r , ,a 0 Other No.of Dryers Heating Appliances KW `0.o +'a .r KW 'o.o 'o.0 Data Wiring: Hooters .6s Ballasts Ql ► t , 1 - No.H dromassaa Bathtubs No.of Motors Total HP ' ' ssoatl a .o 1 ' r g _ _ ems[� I kr ESItiirO t , OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Ele trice!Work: I �DO ' (When required by municipal policy.) Work to Start: 6 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V RAGE: 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, CHECK ONE: INSURANCE ® BONO 0 OTHER ❑ (SpecIfy:) I cetW',under the pains anti penalties of perjury,that the Information on this gppllcadon is erne and comple FIRM NAME: Cave. cad Electrical _ LIC.NO.: 12642,,A Licensee: N i,c k M c E 1 r o v Signature ,_-1 1--" LIC.NO.:67p A1(8usiness) (If applicable,enter "exempt"in Me license number line.) Bus.Tel.No.L 508-566-4489 Address: 381 Old Falmouth lid.Ste 32 MerslonsMills.MA 02648 Alt.Tel.No.: Per M.G.L.c. 147,a, 57-61,security work requires Department of Public Safety"S"License: Lic.No, OWNER'S INSURANCE WAIVER: 1 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(chee one)❑owner 13 owner's agent, Owner/Agent PERMIT FEE: $ 60• dD Signature Telephone No. Email: Office a®capecodelectrician.com