HomeMy WebLinkAboutBLDE-23-15891 Commonwealth of Massachusetts o1 Y "
*40 Town of Yarmouth � 0'
' ELECTRICAL PERMIT Y‘ ' gx.
Job Address: 23 STONEY HILL DR Unit:
Owner Name: FARRELL CORY J FARRELL WENDY
Owner's Address: 23 STONEY HILL DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15891
Existing Service Amps 100/Volts Overhead S Underground❑ No. of Meters:
New Service Amps 200/Volts Overhead Si Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Upgrade service (W/O#: 13040880)
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: May 30, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: A J PULLEY License Number: 21843
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: E SANDWICH, MA, 025371366 E SANDWICH MA 025371366
Email: electric@halloilgasandelectric.com Business Telephone: 508-398-3831
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:
cit,Ut
Commonwealth of Massachusetts Official Use Only
Permit No.:
1==�+__ Department of Fire Services Occupancy and Fee Checked:
-- !• e. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
\'''='<``l 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: 9A,rz,,i.A0,,fig Date: c/i'/23
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): 23 STon tZ 14r,4... 1)2. Unit No.:
Owner or Tenant: (d,r.. rf4I1.,2iA-L- Email:
Owner's Address: Phone No.:
rJ Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No afsermit No.:
tv Purpose of Building: (Es,n,,,,,r„41._ 17wet30.-11 Utility Authorization No.: 1.30410 E 'O
_ . - Existing Service: 100 Amps / 2+.+i Volts Overhead E r Underground❑ No.of Meters: i
I New Service: 2.00 Amps /z.HOVolts Overhead['Underground❑ No.of Meters: 1
Description of Proposed Electrical Installation: Ve6itiibe SeItiAe;- FAD.A.. /O. A ^ro Zoo A. p2Er'>e1
N,c W
No 4 PA )ei_ fade. 200A 4 wovi. rs1Ew A/c +-04D ro ,Je..., PA„Ie• .
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 0 No.of Devices:
Swimming Pool:In-Gmd.❑ 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 0 Ground-Mount❑ Level 1 0 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: C/30/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: (..1 A.A. C)r, C 0 . A-1 0 or C-1 0 L1C.No.:
Master/Systems Licensee:_ A-1 . .2,L LIC.No.:_ A Zt tel.,3
Journeyman Licensee: A S . i)ou si LIC.No.: I t7 2.23 i3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: rl.)..0 30� 1 r-1 t71 SD,:rr,-t \ ..),s, ►tit,A . 0z.titec)
Email: ELPi-A-0;c CD l-IAkr` t.);t_GA s A-Al E,ri ra ic__ 6,.i.. TelephoneNo.: Sbc3`/r 3el Y to
I certify,under th ins and penalties of perjury,that the information on this application is true and complete.
Licensee: ' LA---' Print Name: i4 3. ';��,r Cell.No.:
INSU OVERAGE: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 E BOND❑ OTHER 0 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: 1 r 0
MAY 18 2023
B LDI G DEPARTM NT
Rv•_
HALL OIL GAS & ELECTRIC
A Division of Hall Oil Co., Inc.
P.O. Box 1401
435 Route 134
South Dennis,MA 02660-1401
508-398-3831/Toll Free 866-398-3831
May 16,2023
Re: 23 Stoney Hill Drive
Ken Elliott
Inspector of Wires
Town of Yarmouth
1146 Route 28
South Yarmouth, MA 02664
Dear Mr. Elliott;
Enclosed,please find an application for an electrical permit to upgrade the electrical service of 100 amps at 23 stoney Hill
Drive in South Yarmouth. Previously,we installed a ductless air conditioning system that failed its inspection due to the
existing electrical service size.
Once the upgrade is complete,I will coordinate with you to re-inspect that job under its permit.
Thank you for your understanding, I remain,
Respectfully,
AJ ley
Master Electrician MA 21843A
electric@halloilgasandelectric.corn
508-398-3831 x100
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