HomeMy WebLinkAboutBLDE-23-19726 10/23/23,3:10 PM about:blank
Commonwealth of Massachusetts -ov • Y41
Town of Yarmouth 0
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ELECTRICAL PERMIT f'
Job Address: 143 PAWKANNAWKUT DR Unit:
Owner Name: CAPE COD OZ PROPERTY II LLC
Owner's Address: 169 METOXIT RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19726
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Remodel/addition
No.of Receptacle Outlets: 35 No.of Switches: 50 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 48 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: 2 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 0 Rating:
Estimated Value of Electrical Work: $23,000 Work to Start: October 23, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JULIAN ROBINSON License Number: 58376
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTONS MILLS, MA, 02648 MARSTONS MILLS MA 02648 Fee Paid: $150.00
Email:julianrobinson46c gmail.com Business Telephone: 774-368-0824
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 OfficialUseOnly //
_ Permit No.: E�?� `% 7 -4a0
a.:WM=F Department of Fire Services Occupancy and Fee Checked:
�. j_ BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMI3.12.00
City or Town of: YARMOUTH Date: (61?2 2d 1'3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electric: ,. a cubed below.
Location(Street&Number): I 7 P aw IC c,..1 h ld IC✓j' D f�, Unit No.: C D
Owner or Tenant: C,4 r E co 17 O Z P�o p{, }� [ LC... Email: --
Owner's Address: I C rj 1'Lto-o y,.[- , e'-t j_ F-Al w ovl-[, Phone No.: II
Is this permit in conjunction with a building permit?(Check appropriate box)Yes Fj No❑Permit N
Purpose of Building: RRw t&-I /j PI 1 f.;(1h Utility Authorization No.: - ENT
Existing Service: 6 o Amps'LQd/IZD Volts Overhead El Underground .0. rs__
New Service: Amps / Volts Overhead ID Underground❑ No.of Meters:
Description of Proposed Electrical Installation: R C`K a cl—t I
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: ,�5 No.of Switches: '0 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: L'y 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: 7„,„Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Gmd.0 Above-Grnd.❑ Hot-Tub 0 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 0 Ground-Mount 0 Level 1❑ Level 2 0 Level 3 El Rating:
OTHER:
Attach additional detail if desired,or as re aired by the Inspector of Wires.
Estimated Value of Electrical Work: 3/ c � (When required by municipal policy)
Date Work to Start: Ie)/Z 2/2 G 2) Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: S tf 1 ti t c- Gv4-41' A-1❑or C-1❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: S V('oFh a(,1,S b> LIC.No.: I ?7C—Q
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: (2,6 St+,,,,A'tit fevf-6vh (k Wt44/-Sf041 6v,r11IS G'iA- o1.CciY
Email: V ( t^✓ o d j S a L t(C G.in�to I • C 0 5,.,' Telephone No.: 7 74- GP--B S 2 4
I certi,under the pains and penalties of perjury,that the ormation on this a Ideation is true and complete.
Licensee:---Su( �� katA•tfvV Print Name: � Cell.No.: 77[/-16f�^0S-7Y
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[1 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.: