HomeMy WebLinkAboutBLDE-23-18992 6/2'"33, 1:58 PM about:blank
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Commonwealth of Massachusetts Y�
v1. Town of Yarmouth
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ELECTRICAL PERMIT qr
Job Address: 118 CROWELL RD Unit:
Owner Name: BUTLER MITCHELL W SPELLMAN BUTLER DENISE
Owner's Address: 77 CARLISLE RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18992
Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: add circuit for dehumidifer&ERV
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 ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: I
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3 El Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 23, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
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 OffiPermit C23U(eQ t V
I 'Wi rDepartment of Fire Services Occupancy and Fee Checked:
"als 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), 27 CMR 12.00
City or Town of: YARM O UTH Date: be -P 3- Zv 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&Number): (, g C c'0 t.trc 1,1 Ad-- ,d 3)1«i�itp/Unit No.:
Owner or Tenant: a,i e S ft.l t rrt-a t Email:
Owner's Address: G%A-Ft k( D 2aNL (gob u P4"A-at o l Phone No.: I'3 31-707-o21 770
Is this permit in conjunction with d'building permit?(Check appropriate box)Yes❑ No 0 Permit No.:
Purpose of Building: Ar 1'YNIS'C-. gM2ruet"u>ite Ut4itrAuthorizationNo.:
Existing Service: �00 Amps/ld/o 'OVolts Inverhead Underground El No.of Meters: /
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: /47).l1 C l rcut r F2rQ- )CIO mad/Sus, e rlr V n tT
ins1u e G-FZ P,oT€ernon v n AJIS.e4wvv1-P/v,,S
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 0 No.of Devices:
Swimming Pool:In-Grad.0 Above-Gmd.❑ 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 rk„i,es•
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Eq ti j ertt C E I V I- U
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1❑ Level 2❑ Level 3 0 lah`ttgi'--"'
OTHER: JUN 23 2023
Attach additional detail if desired,or as rEquired by the Inspector of Wires. g l �4 A
Estimated Value of Electrical Work: -C /00 0 (When required by municipal pnl' )
Date Work to Start: b "7.3-ZoL 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A)Pit I, S c..1 to e n e r p A-1❑or C-1❑LIC.No.: /113gV9
Master/Systems Licensee: p(.t,.c, ,�9 c 4 4"C..+-- LIC.No.: A 13 9 t 9
Journeyman Licensee: LIC.No.:
Security System Businessr requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 4 Y T.r Ao.c% C W Ps r14
Email: net"e t(1 e4 (id Co Acti.S r)G f, l` Telephone No.: ...-06""-)76-/YS
I certify under he pains td enallies of perjury,that the information on this application is true and complete.
Licensee: Print Name: /"e I I Sit o[�e r Cell.No.: S0r?�``/7-r?
INSURANCE COVERAGE:Unless w' d by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"co eted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s e 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: