HomeMy WebLinkAboutBLDE-24-317 2/27/24,3:15 PM ` ^ about:blank
Commonwealth of Massachusetts Qv`
Town of Yarmouth
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ELECTRICAL PERMIT g `�"
Job Address: 86 LOOKOUT RD Unit:
Owner Name: WILSON GERALD N
Owner's Address: 86 LOOKOUT RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-317
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wire new range hood & relocate recessed can.
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❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 800 Work to Start: February 27, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: CHRISTOPHER MAUKE License Number: 59250
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 85 Old Duck Hole Road Orleans MA 02653 Fee Paid: $60.00
Email: cmaukeelectric@gmail.com Business Telephone: 774-801-9877
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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Comnwnw.a[th o`�Ylad6aCn dfLL6 _ J i
' - `✓ c�7� Permit No. 7
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t+' }* Occupancy and Fee Checked
' 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
S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2�27�2=�
City or Town of: y4 r My 4 To the Inspector of Wires:
c, By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)•
6, l-c 1�,c �- AOwner or Tenant �-+'-t' W t kcle Y1 Telephone No.
a
- Owner's Address (_, 1t,VC).: .C'r'k
vIs this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
- Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
i Location and Nature of Proposed Electrical Work: Co(mil c,k �",j,z t�E't) Y.Ci'�rt t'� +(' c1,f V‘oc,A i Nnt-vz.L
t" ,C-4.P CA (cctn -t 77 'AL.,+ l o C C, 4-t c31
V) Completion of the followingtable may be waived by the It pector of Wires.
s No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total
Transformers KVA ,
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
k No.of Luminaires swimmingPool Above L. In- ❑ No.of Emergency Lighting
grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I� es"
r
z No.of Switches No.of Gas Burners No.of Detection nd
1 � Total Initiating De ice. FEB 2 7 2074
No.of Ranges No.of Air Cond. Tons No.of Alerting vices
No.of Waste Disposers Heat Pump Number.Tons __ KW No.of Self-Coat fled---- N G r�E PAR- MEN T
Totals: Detection/Ate ,, Di cl�
No.of Dishwashers Space/Area Heating KW Local❑ Mannecnic `'tio n ❑ tither
Co
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of ICVWater , No.of No.of Data Wiring.
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP 'TelecommunicationsofDevir quingg
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1. CJ1 C) (When required by municipal policy.)
Work to Start: �'C'-10 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 DB BOND 0 OTHER 0 (Specify:)
1 certify,under the pains and penalties of p„Vary,that the Information on this application is true and complete.
FIRM NAME: C ‘‘Y`.,}a ( 1G,.._k LIC.NO.: c q Z� 0
Licensee: N.,c�'i) ,- 1VV u`iLc Signature � � LIC.NO.: 5 c)2 c c' g
(If applicable,enter"exempt'in the license number line.) Bus.Tel.No.: 77 cl- �(- 9177
Address: .3s bid D c,V ir\t:i rcc:r]/ OrLehr i Giftti O2Lc Alt.TeL No.:
*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
Signature Telephone No. PERMIT FEE:$