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Home My WebLink AboutBLDE-23-19848 11/15/22,6:47AM about:blank tea. Commonwealth of Massachusetts of•• Y : . * • Town of Yarmouth it ELECTRICAL ELECTRICAL PERMIT ' • ' ` Job Address: 55 ADAMS RD Unit: Owner Name: AVERY-GAGNIER LAURA Owner's Address: 278 MEADOW ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19848 Existing Service Amps I Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Septic pump &alarm 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❑ 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: $ 1,200 Work to Start: November 13, 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: $75.00 Email:julianrobinson46@gmail.com Business Telephone: 774-368-0824 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: C CNityuT t (*2-"S ICE '1 A c 12Lk ( o : cai (N) LI( 7(.2-1-( Aez-- S.., about:blank 1/1 b' Commonwealth of Massachusetts Official U6s�,.,,Only Permit No.: 23�l 1 'd'� i,. 4% t Department of Fire Services Occupancy and Fee Checked: _'ri , BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023] .n •—'" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: YARMOUTH Date: To the Inspector of Wires:By this p licaf n,the undersii nod gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): ft t �t'45 Ib4• ._ Unit No.: Owner or Tenant: I-0.Vtot &.,rj in(err Email: Owner's Address: S'*n R h$ (Loa_ Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes[g No❑Permit No.: Purpose of Building: 5 e r+it $t/Ste.., Utility Authorization No.: Existing Service: I0 6 Amps 246/no. Volts Overhead® Underground❑ No.of Meters: I New Service: Amps / Volts Overhead❑ Underground 0 No.of Meters: . Description of Proposed Electrical Installation: S e 2t'G A I r""' 4'0M ?Doi 12 A LC Pt Pp4 !l, 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 Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: I Total HP: Total KW: .5- No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Gmd.0 Above-Gmd.❑ 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 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devicca- Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: t C C i I1 V C D No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1❑ Level 2❑ Level 3❑ Rating: OTHER: t NOV 13 2023 Attach additional detail if desired,or as required by the Inspector of Wires. is p i n G EPA [ T Estimated Value of Electrical Work: t Z 4 G (When required by muni ip`it1 pnlioy)------ ----- Date Work to Start: 11113 /2-'1.> Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1❑or C-1❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: -i U t i ki., Rob',--t t o LIC.No.: V. Sir 3 7 c-i3 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 11C St,r„+ul'I' (VA."1- wt, KnnL /� uL-fflkJ Pk OS MA4 o2c4S/ Email: 3v ti 1% c 1, sttl,rea. �i(C Gtti,4,1•&da Telephone No.: 77 - . 69-0sr2y I certify,and r the pains an enallies of perjury,that the informationon this application is true and complete. Licensee: Print Name: Tu(1 hI,_ it,tt 6 t ii c'� Cell.No.: 7]it";i --6' 1/ 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 MI BOND 0 OTHER 0 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.: 4/17/24,7:22 AM about:blank Commonwealth of Massachusetts of • YAK, *„ Town of Yarmouth 0 3 c ELECTRICAL PERMIT 14TTiZik EESE Job Address: 55 ADAMS RD Unit: Owner Name: AVERY-GAGNIER LAURA Owner's Address: 278 MEADOW ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19848 Existing Service Amps/Volts Overhead Cl Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Septic pump &alarm 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❑ 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 Cl Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,200 Work to Start: November 13, 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: $75.00 Email:julianrobinson46@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: Ee_c_ `t(t 7 (Z-y about:blank 1/1