HomeMy WebLinkAboutBLDE-23-19695 10/17/23,2:08 PM about:blank
Commonwealth of Massachusetts �ov ••yA� �.
* Town of Yarmouth °f
o m
ELECTRICAL PERMIT �`�
Job Address: 47 WOOD RD Unit:
Owner Name: DELANEY JAMES
Owner's Address: 47 WOOD RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19695
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring of enclosed screen porch
No.of Receptacle Outlets: 6 No.of Switches: 4 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 4 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:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: October 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT J CARREIRO License Number: 19861
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S YARMOUTH, MA, 026641976 S YARMOUTH MA 026641976 Fee Paid: $75.00
Email: carreiro.electric@yahoo.com Business Telephone: 508--280-0537
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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• n o 4r/ cc�� cc'// Permit No. r 73— \ \Lo
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r,.- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
• (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / //Q z 3
City or Town of: YARM O UTH To the Inspdctor o Wires:
1By
this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 7 LLJUc.,_
` Owner or Tenant r q, 1.{L.,S �E j.A it..)E Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes .. No ❑ (Check Appropriate Box)
Purpose of Building r,> ;' e- u /,4 L Utility Authorization No.
I Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
V I Number of Feeders and Ampadty
i Location and Nature of Proposed Electrical Work: ech g ,JELc..) t�Jc--Lo1<� S le<,eti)
,,, --T'N Pe ieCk
!t'i Completion of the following table may be waived by the Inspector of Wires.
`s° No.of Total
UiNo.of Recessed Luminaires ,. , No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
r-'t No.of Luminaire Outlets No.of Hot Tubs Generators KVA
st No.of Luminaires Swimming Pool Above ❑ Igtn-d. ❑ No.of Emergency Lighting
gird. Battery Units
�R No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
•K No.of Switches 4 No.of Gas Burners No.of Detection and
Initiating Devices
11. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P Connection
No.of DryersHeating Appliances KW Security Systems:1
No.of Devices or Equivalent
No.of Water No.of No.of
KW Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent
y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE: INSURANCE rig BOND 0 OTHER 0 (Specify:)
I cerrify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: `-- .0 /?z ''f_ (7,4 A iaci ec �Lee'ie(Ctia,..) LIC.NO.: L/9eG(
Licensee: r'a eavr J Om le teei..ez., Signature (' LIC.NO.: L lIl /
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: S"oi''3?E-333 '
Address: P.0 Qox /v V6 S'.y Ho 6414 / l4 D LGc:4- Alt.Tel.No.: S19cf---•4t0-0: 3'7
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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)0 owner 0 owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.