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HomeMy WebLinkAboutBLDE-24-179 2/5/24,F 4 AM about:blank Commonwealth of Massachusetts © �, �aa,y * Town of Yarmouth ELECTRICAL PERMIT A2'° Job Address: 8 WINCHESTER CT Unit: Owner Name: DE MARCO PAUL DE MARCO MICHELE L Owner's Address: 8 WINCHESTER CT Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-179 Existing Service Amps I Volts Overhead❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Permit to close out expired permit. No.of Receptacle Outlets: 1 No.of Switches: 2 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: 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: 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: $400 Work to Start: February 5, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: License Number: Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Fee Paid: $50.00 Email: Business Telephone: INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: ‘7+ 7't-( about:blank 1/1 e Only Use c.. Commonwealth of Massachusetts Permit No.: �•Official alUs �k.7 t T_ 4-_f Department of Fire Services Occupancy and Fee Checked: ` �= BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CI'yIR 12.00 City or Town of: YARMOUTH • Date: 2/.2/2)' To the Inspector of Wires:By this application,the undersign id gives notices of his or her intention to perform the electrical work described below. Location(Street&N mberl): 5"' ill/$"-- L-- C1 7 ' Unit No.: Owner or Tenant: itt// '/% Email: e4v,-742cocokvirvK / 'r' CC',t-7 Owner's Address: g~ lrv;Iticl..e4:,1- C-4-• Phone No.: jaa''091-&*1 Is this permit in conjunction wit a building. permit?(Check appropriate box)Yes Er No❑Permit No.:23 0030 Purpose of Building: Anti tfig ' 1/11 Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ UndergroundJ ❑ No.of Meters: . Description of Proposed Electrical Installation: gennu h`r 7rA'j Completion of the following table may be waived by the Inspector of Wires. No.of Receptable 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 0 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: E fie. I V D No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3 0 Ratinc-"" •- OTHER: t LFEB Q1.4 22Q _. Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical W rk: j(�ri 2,r p I he ` _r_A_ r M[N T j ° (When required by mu iictpal pohcy�___, Date Work to Start: Q /al/430. 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: V i ,n-e- 2. i-v,P�v S '-/ Email: h:� c,cor---4 (27,4,,e• Cv,'t Telephone No.: I certify,u tl p ins and penalties of perjury,that the information on this application is true and complete. Litti'( 'IJ�I�2t. Print Name: Cell.No.: 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 same to the permit issuing office. CHECK ONE: INSURANCE El BOND❑ OTHER❑ Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By 'signature below,I hereby waive this requirement. I am the: (Check one)Owner❑ Owner's agent❑ Owner/Agent: j/✓[ ,2 Tel.No.: 5-19 - y ).1� / Signature: r (J-' ' -� Email.: ��Q"ifetcc?ce>. : - ' ( 7, 4o2 , / COB deina r 'D CO'l 9rac 4A .Q yy.Aoo 6 -