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HomeMy WebLinkAboutBLDE-24-170 2/1/24,3:08 PM about:blank - Commonwealth of Massachusetts o y * Town of Yarmouth ° 1' 0� � ' /''i' 4 t� 7y ir�rf^4 oz ELECTRICAL PERMITka..wN Job Address: 61 COMMONWEALTH AVE Unit: Owner Name: NAUSET DISPOSAL HOLDINGS INC Owner's Address: 3 WATERWAY SQUARE PL STE 110 Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-170 Existing Service Amps I Volts Overhead 0 Underground 0 No. of Meters: New Service Amps/Volts Overhead D Underground❑ No. of Meters: Description of Proposed Electrical Installation: Repairs and replacement of exterior receptacles. No.of Receptacle Outlets: 38 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: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $4,500 Work to Start: February 1, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: TYLER W PAYNE License Number: 22091 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Harwich, MA, 026452175 Harwich MA 026452175 Fee Paid: $80.00 Email: office@payneelectricinc.com Business Telephone: 774-209-3921 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: $( CiL 24r2-41-N e --*. 1/1 about:blank Commonwealth,o/Mamaclumeitz Official Use Only ri` -. p S Permit No. = iRd= � ThePart meat o �cre Serviced M`{-� Occupancy and Fee Checked -=- -- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ♦�i» APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME,;), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 01 tk ao a t4 City or Town of: \/ i\ci-v p J�� To the Inspector of Wires: By this application the undersignedlgives notice of his or her intention to perform the electrical work described below. Location(Street&Number) fj I CO\NNIN\c‘rNk.Z. c s tV.Nsl_ L Owner or Tenant kcC jS€ "�•�S.oSe.\ N O\cSo s 'c-ir • Telephone No. Owner's Address 8wetc .t �Uc�r Q I. SlM no "lit- Alen,1le0-tyQ1 Tx 7—"/' eo v Is this permit in conjunction with a building permit? Yes ❑ No l (Check Appropriate Box) cPurpose of Building Utility Authorization No. t , Existing Service al00 Amps /20/ 2.10 Volts Overhead _ Undgrd Eg No.of Meters Li New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity J Location and Nature of Proposed Electrical Work: K � ,,r,a t� W e,ktiNeet b ,Cbv‘,3 VQ S\,\oaA o kA t-e-4--S, i-h s- // 38 oo s; © lei-*, t lei - knot' c o.. :urs Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of Total ,, j Transformers KVA 4� No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grndAbove. ❑ In-grnd. ❑ No.o#"Battery Units Emergency Lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Total No. of Alerting Devices Q,) No.of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: Detection/Alerting Devices i No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection Other Ct No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent O No.of WHeaters KW ter No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: L Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value oflEle trice! Work: '!�v• (When •required by municipal policy.) U.3. Work to Start: t AAq izpvi 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 liconsoo 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 i.4 BOND ❑ OTHER ❑ (Specify:) I certify,under the `ains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:?A'4 NE '1..•G.i..T C`r t .. LIC.NO.:63QL - , Licensee: 74 LEV. W• y NE Signature76,)ef q��� LTC.NO.:'Z,21►1„ — liter "exempt" in the license number line. t e i (If applicable p Bus.Tel.No,: �L ►�i Address: v.O. 'RCA l'o'1S SRUA h tat 11-Vi tU‘ , i4IA 02•0lD‘ Alt.Tel.No.: Wk W 1 *Security System Contractor License required for thin work;if applicable,enter the license number here: 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. Owner/Agent PERMIT FEE:$ Signature Telephone No.