HomeMy WebLinkAboutBLDE-24-322 2/28/24,7:10 AM ( about:blank
Commonwealth of Massachusetts of • yA .
*4 Town of Yarmouth
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ELECTRICAL PERMIT
Job Address: 33 EARLY RED BERRY LN Unit:
Owner Name: BROHAN PAUL
Owner's Address: 8616 CHOCTAW RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-322
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Work done & covered without permits.
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: $ 0 Work to Start: February 28, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: LEON KNIGHT License Number: 20979
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BREWSTER, MA, 026312061 BREWSTER MA 026312061 Fee Paid: $250.
Email: leon@knightelectricma.com Business Tele hone: 774-722-31
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of elects -0 sue 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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" ECEIVED
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[FEB ,.�. Commonwealth of Massachusetts 7 On1 2 t4 Permit No.:
E-_ t-�t Department of Fire Services Occupancy and Fee Checked:
BUILDING ,__— 4 • i RD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
By. ',
N_ N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 MR 1 00
City or Town of: YARMOUTH_ Date: c2 27 /'l4?To the Inspector of Wires: By this application,the and rsign gives notices of is or her intention to perform the electric I work desed hclow.
Location(Street&Number): 3 )-7r/ L,t— - Unit No.:
Owner or Tenant: Email:
Owner's Address: Pho o.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes o ❑ Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: /no Amps 42QV_4(grolts Overhead[Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation:
Completion ofthe following �1 O `a O _ /
p table ni7y be waived by the Inspector of Wires. /T'' a / m ELIZp'
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: /la,�
No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating: lia
No.Appliances: KW: No. Water Heaters: KW: No.Transformers: Total KVA:
Space IIeating KW: I-Ieating Equipment KW: No. Motors: Total EIP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool: In-Grad.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 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:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level I ❑ Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: Ins ections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: ttin ig, rte in Q. A-1 0 or C-I 0 LIC.No.:
Master/Systems Licensee" Lee' knit°�//,— LIC.No.: 749z7 7
Journeyman Licensee: v LIC. No.:
Security System Business requires a Division of Occupational Licensure"S.'LIC. S-LIC.No.:
Address:
PAS 'ei— Aki vZGf/
Email: Telephone No.: ...
I certify,under the pains an enalties of perjury,that the information on this application is true and complete.
•
Licensee: Print Name: Leon ienc.:0,%7 Cell.No.: ',44 722-3CZ T
INSURANCE V E: Unless waived by the owner,no permit for the perforn}a of electrical work may issue unle3s the licensee
provides proof of liability including"completed operation"coverage or its substantial equ alent.The undersigned certifies that such coverage
is in force and has exhibited proof of same 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.:
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