HomeMy WebLinkAboutBLDE-23-19920 11/3n/23,6:10AM about:blank
Commonwealth of Massachusetts of • y
* Town of Yarmouth c
ELECTRICAL PERMIT ,`v w�i �
Job Address: 64 NEPTUNE LN Unit:
Owner Name: KAROL STEVEN C/O KAROL AND KAROL
Owner's Address: 424 ADAMS ST SUITE 202 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19920
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring for mini-split 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❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: November 29, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT J CARREIRO License Number: 19861
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S YARMOUTH, MA, 026641976 S YARMOUTH MA 026641976 Fee Paid: $50.00
Email: carreiro.electric@yahoo.com Business Telephone: 508-280-0537
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 Official use Ortt 2_c)
Permit No.:
=10 5 Department of Fire Services Occupancy and Fee Checked:
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• ;I' BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/2023]
"`''"' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: YARMOUTH Date: /1/z 9/z3
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&Nu ber): 4-/VEi'7j L-R,Je Unit No.:
Owner or Tenant: 0,4,w„) Ume,c,t,L Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No N Permit No.:
Purpose of Building: 7 ,..—,vi%iPG Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
. Description of Proposed Electrical Installation: ./.PC /../-S/3/2 U,c)/V
Completion of the following table may be waived by the Inspector of Wires.
No.of Acceptable 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-Gmd.0 Above-Good.0 Hot-Tub❑ 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 Equip e
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level I 0 Level 2❑ Level 3❑ ! C F I V G'
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by Ilianipab&PIiJf)ARryyttEN�
Date Work to Start: // 2/Z 3 Inspections to be requested in accordance with MEC R By - lettott.
• FIRM NAME: o"gee i.1. (2A#4tee7,€O ,4"Z-z-Ir2tUAr✓ A-1❑orC-1❑LIC.No.:
Master/Systems Licensee: LIC.No.:
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Journeyman Licensee: /JD,Br7rr S. die?,e/eEi.2a LIC.No.: r/9f:G/
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email: ('y,e,v-7/ly •�7trx/G ('-' )/ f-m- Coro Telephone No.: c £ --3 '4—333f
I certi,under t p Nes o.lperjury,that the information on this application is true and complete.
Licensee: Print Name: VP_,-.,Bcszi d.eptier/iee Cell.No.: ..'og.-..2.4--D-IDS-3r
INS CO RAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of li ility including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of a to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER 0 Specify:
OWNER'S INSURANCE WAIV R: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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: