HomeMy WebLinkAboutBLDE-24-377 3/8/24,6:23 AM about:blank
- Commonwealth of Massachusetts og •YAK
*, , Town of Yarmouth ,, `
0
ELECTRICAL PERMITrk
Job Address: 918 ROUTE 6A Unit:
Owner Name: PETERSON JAMES TR
Owner's Address: 1911 BOXWOOD TERR Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-377
Existing Service Amps I Volts Overhead❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring for replacement cases.
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: ln-Grnd.❑ Above-Grnd.❑ 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 ❑ 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 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $0 Work to Start: March 4, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID E COLEMAN License Number: 17221
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTONS MLS, MA, 026481048 MARSTONS MLS MA
026481048 Fee Paid: $80.00
Email: coelect@comcast.net Business Telephone: 508-364-7445
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 Only
. ..,4 Permit No.: a2/4-3 77
ti, , Department of Fire Services Occupancy and Fee Checked:
a` BOARD OF FIRE PREVENTION REGULATIONS
y [Rev. I/2023]
C diE l/�L= y
'.... Qp APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I2.00
City or Town of: Yarmouth PORT Date: 315/24
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical wo• •. - . ••.• `' C I)
(Street&Number): 918 6 A Unit No.: E Y
Owner or Tenant: Petersons Market Email:
Owner's Address: Same Phone No.: , ! I 2024
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No®Permit No.:
Purpose of Building: Food Market Utility Authorization No.: ; ,G DEPARTMENT
Existing Service: Amps / Volts Overhead 0 Underground❑ No. ,f: -•
New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: One new 20a 115 volt circuit for a refa.Case.Moving 3 existing circuits
to new location for new replacement cases with the same electrical specs.Adding 2 recepts.In basement for condensate pumps
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: 16 A 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-Grad.❑ 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 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 0 Ground-Mount 0 Level 1 0 Level 2❑ 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: 3/4/24 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Coleman Electric Inc A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.: Al7221
Journeyman Licensee: LIC.No.: E28807
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 62 Fleetwood Path,Marstons Mills Ma 02648
Email: Coelect@comcast.net Telephone No.: 508-428-7445
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: David Coleman Print Name: PeliA141(h4/t4M Cell.No.: 508-364-8456
INSURANCE COVERAGE: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® 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❑ Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.:
I