HomeMy WebLinkAboutBLDE-24-300 2/23/24, 12:48 PM about:blank
Commonwealth of Massachusetts
Town of Yarmouth
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ELECTRICAL PERMIT
Job Address: 11 COLUMBUS AVE Unit:
Owner Name: GEORGANTAS ARTHUR TR
Owner's Address: 1 LTANDERSON DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-300
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Inspection of house, by electrician, to determine extent of damage cause by
crossed wires in EverSource's system.
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:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $2,000 Work to Start: February 26, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
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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Commonwealth of Massachusetts Of---- l Use Onl l.J
'� ft Permit No.:
Department of Fire Services Occupancy an Fee Checked:
�1_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/20231
"'•_`.` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
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City or Town of: YARMOUTH__ Date: 62 -a,27- ,,'OAY
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); 1 / CO lv,70)s 4ve._ Unit No.:
Owner or Tenant: l tZ"r t-e.,
ci €0 J a n-iS Email:
Owner's Address: •I Phone .:
Is this permit in conjunction with a building pelrnit?(.Check appropriate box)Yes❑ No Permit No.:
Purpose of Building: e -1 I'u,i I✓t )V C fns, lity Authorization No.:
Existing Service: Amps / Volts P'' verhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts�`���� Overheat❑ Underground
�+❑ No. of Meters:
Description of Proposed Electrical Installation: ' 1Ae...eL f et ffCc/t S 1✓1 !�t/ 4- {e n
-e-v itS6 vrct "14,eje r rMOv ,%c' Pcn hlI-.► w,,r ip,,,- A- k - 5'1yr-wt.
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 Ileating 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.El Hot-Tub0 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 Devip
Solar PV KW DC Rating: Solar PV KW AC Rating: No. of Electric Vehicle Supply Equipment: DD i 2024
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑, Rat'
OTHER: y--___.___ _ f`I MEW i
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: R 000 (When required by municipal policy)
Date Work to Start: W it'l r.�iti Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: a e/i l 5 Ay tile- e" A-1 E or C-1 ❑ LIC.No.: 4i3 g 4?
Master/Systems Licensee: LIC. No.:
Journeyman Licensee: LIC. No.:
Security System Business requires-a,Division o�Occupational Licensure"S"LIC. S-LIC.No.:
Address: fro Traces � G(Ia r'' ate. j
Email: I) €-(( 4 l( . 0,-Co it/TA-c 1, Acre" Telephone No.: 6-40 '7 76 l ir?
I certif er the Rains at !penalties of perjury, that the information on this application is true and complete.
Licensee: Print Name: A t-I( SC ha ¢-- Cell.No.: -5-4T'7 -74 -4S7
INSURANCE COVERAGE: Unless waived the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"comple operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of sai to the permit issuing office.
CHECK ONE: INSURANCE 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 my signature below, I hereby waive this requirement. I am the: (Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.: