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BLDE-24-483
3/26/24,3:29 PM about:blank Commonwealth of Massachusetts of Y44 * Town of Yarmouth 0 0.11 O ELECTRICAL PERMIT Job Address: 64 RUN POND RD Unit: Owner Name: KENNEDY MARY THERESA Owner's Address: 64 RUN POND RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-483 Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Bathroom &kitchen remodel (All old work) No.of Receptacle Outlets: 10 No.of Switches: 9 Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: 5 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: $4,000 Work to Start: March 26, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: DANIEL 0 WILKEY License Number: 32288 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: SOUTH DENNIS, MA, 026603744 SOUTH DENNIS MA 026603744 Fee Paid: $50.00 Email: dwilkey396@gmail.com Business Telephone: 508-360-4636 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: — 4 LI about:blank 1/1 Commonwealth of Massachusetts Official Use Qp ly —=_ r Permit No.: -e�_l.-f T �� I-fit. f1, Department of Fire Services Occupancy and Fee Checked: C. �= e1— 0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] . li .•— 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:mfSCk Aa,a;2# To the Inspector of Wires: By this appli alien,the dersigne give oti es of his or her intention to perform the electrical work described below. Location(Street&Number): y t) ©i al , 5,��� Unit No.: Owner or Tenant: mAC RZ Email: Owner's Address: i_j M Phone No.: Is this permit in conjunction with a building permit? Check appropriate box)Yes El No El Permit No.: Purpose of Building:o f�.FApt;ly D�r IL Utility Authorization No.: Existing Service: liv Amps I,Z a%'O Volts Overhead.. Underground El No. of Meters: f New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: 'Ij4V h le)t+a!A ix IVV, _ •T Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: ip No.of Switches: 7 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.0 Above-Grnd. D 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 ❑ 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 El Level 2❑ Level 3 ❑ Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: fi(,p(f0�� (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 ❑ or C-I ❑ LIC. No.: Master/Systems Licensee: LIC. No.: Journeyman Licensee 'l i`�y LIC. No.: 3 Uft E Security System Business requires a Division of O(cupational Licensure"S"LIC. S-LIC.No.: Address: (O. tI,Dk 47 //Arla;ck 'r ► ! eft-. Email: d o t l k s y 374 L'cirh t l • CM — Telephone No.: I certify, un the ains td penalties of perjury, that the information on thisSJV pplication is true and complete. License Print Name����l (A)� Cell. No.:���3 6 INSURANCE GE: Unless waived by the owner,no permit for the performan 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 91.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 El Owner/Agent: Tel. No.: Signature: Email.: