HomeMy WebLinkAboutBLDE-24-49 1/11/24,2:39 PM about:blank
Commonwealth of Massachusetts ov • YAK
* , Town of Yarmouth ,, ,°,
ELECTRICAL PERMIT
Job Address: 46 HERITAGE DR Unit:
Owner Name: CORMACK ADAM R CORMACK JESSICA
Owner's Address: 46 HERITAGE DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-49
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: v
� �
New Service Amps/Volts Overhead ❑ Underground❑ No. of Metereb( ri
Description of Proposed Electrical Installation: Service Upgrade & ' (W/O 16028252) jizpsa
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 O , 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: January 11, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH M MCGUIRE License Number: 14750
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SAGAMORE BCH, MA, 025622500 SAGAMORE BCH MA
025622500 Fee Paid: $50.00
Email: electricmcguire@gmail.com Business Telephone: 617-212-3231
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
C5451/A3L6 (-31-- (2-44.0r2, E:4,L 4(sP-(234, 6F---
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ccyy��eparEmsnt o f 7ir4 Je{{��rvics3 Permit No. ( I
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BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07) (leave blank)
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: ///0 27'
City or Town of: )fm ,.tfJJ To the Insp ct r of Wires:
♦ By this application the undersign gives notice of his or her intention to perform the electrical work described below.
q ' Location(Street&Number) Y� (,/, �.�«L �l%l,',
,Owner or Tenant (�'0/ -� // Telephone No.
Owner's Address 5 tIim e
♦
Is this permit in conjunction with a building permit? Yes No E (Check Appropriate Box)
.) Purpose of Building / Aiy//7' /f0 �62- Utility Authorization No. A(1�1,,..,u. �
Existing Service /00 Amps 40 /d ff'Volts Overhead,_ Undgrd Lam" No.of Meters /
•
New Service .422 Amps / (2 /,2)Y2Volts Overhead L Undgrd Z No.of Meters (
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ‘' ,y��j� elf, °xVi /;' ,aim., /4M1$
itS / Completion of the following table may be waived by the I of nspector of Wires.
Wotal
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA
, No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
No.of Luminaires SwimmingPool Above r—i In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
l No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
IC
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
Total
I)i ': No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p° Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications iring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
led Value of Electrical Work:'"OLEO (When required by municipal policy.)
en Igor to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
L, ± II S RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
▪ 1N tip li nsee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
• I tadsigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
' '. 0 BOND
L 1 vo,--, .ok K ONE: INSURANCE ❑ OTHER 0 (Specify:)
Vilk.„ e ' ,under the pains and penalties of perjury,that the information on this application is true and complete.
I Q ' * : NAME: /9 Crw 1/io -2L'fr7( LIC.NO.: /
,. 1
..ee: .JG � `�2i�/e Signaturei7e,,,,,,z,-;\ 50
LIC.NO.: S/��
ix I s.. icable,enter exemjt' in the license number line.) �'�
Bus.Tel.No.: 6'/J. fp?_� .V
Addr s: / !J '/f >f G'f,r/P �,Z✓(/f� ll L 11 Al 0004 Alt.TeL No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not haw the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. [ PERMIT FEE:$
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