HomeMy WebLinkAboutBLDE-24-484 3/26/24,3:35 PM about:blank
Commonwealth of Massachusetts of Y�,.
*�, Town of Yarmouth .
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ELECTRICAL PERMIT ,c. q�
Job Address: tJ 14 (_6t41 all4
Owner Name: �n n�4- � �
Owner's Address: Is'1 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-484
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Permit to cover work done (Heat pump) in basement.
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 ❑ 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 El Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: March 26, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JERONIMO MARQUES License Number: 22751
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WOBURN, MA, 018015540 WOBURN MA 018015540 Fee Paid: $50.00
Email:jmarqueselectrical@gmail.com Business Telephone: 774-269-5521
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 �;a►UJe Only' eLl
. _._:= 1, of Permit No.: U"l lit
-1��-r Department Fire Services Occupancy and Fee Checked:
el— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
''''"-'—td' 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: S/25/2 y
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): ,.3 O rrq,y t /Oc✓er K l Unit No.:
Owner or Tenant: Pet--Erick %i//eta Email: ea 4.-h-dey (77-7 A%/-Ce•yt
Owner's Address: 30 r✓layyrio:,a— 2,-? Phone No.: .39) a3 7--c c
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No 0 Permit No.:
Purpose of Building: Re5 rcie.nce Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: kJ ire he' ,wig /z7ii7i S,/ / -far- bAsc eji f
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 1-Ieaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW:
No. Heat Pumps: I Total KW: 5 Total Tons: /.,ZS Fire Alarm System 0 No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Gmd. 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❑ 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 RECEIVFD
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level I ❑ Level 2❑ Level 3 ❑ Rat n — -
OTHER: MAR 2 5 2024
Attach additional detail if desired, or as required by the Inspector of Wires. BUILDING DEPARTMENT
Estimated Value of Electrical Work: /5 U0 (When required by municipal ) __ ___
Date Work to Start: 3/25/2L/ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Los1�I2llov de37,1 Lb; /c-1 A-1 ❑ or C-1 0 LIC. No.:
Master/Systems Licensee: j cc,iime /' a/pies LIC.No.: as 7 %-A
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 24 ,,Kc /7 ve CJo b vrr7 /1911 , diRC/
Email: J Vri etr t uese/e c-Fr icel/1) q/nai/.cerr9 Telephone No.:
I certify,under he pains enalties of perjury, that the information on this application is true and complete.
Licensee: -//-/ Print Name: —50;A (e D0/1i I c Cell.No.:l;'77y>a.6y -5 5;)
INSURA E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides of of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof oinpe
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.: