HomeMy WebLinkAboutBLDE-24-587 4/10/24,8:10 AM about:blank
Commonwealth of Massachusetts oF • Yam _.
* Town of Yarmouth
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ELECTRICAL PERMIT .,.
Job Address: 17 JOYCE ST Unit:
Owner Name: GLEASON MICHAEL F
Owner's Address: 8 WELCH AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-587
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Service upgrade
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 Work to Start: April 10, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA
026733818 Fee Paid: $50.00
Email: pinchcalllynch@icloud.com Business Telephone: 774-208-8338
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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F z;- EIVED
Commonwealth of Massachusetts
Us Onlyc��y
-._. Permit No.: 7 L/
APR ���_ .44 __- Department of Fire Services Occupancy and Fee Checked:
r
�_- • RD OF FIRE PREVENTION Fir-GULATIONS [Rev. l/2023]
BUILDING ►e 1 ENl
BY `•_�`=--- PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 2 C 6112 00
City or Town of: YARMOUTH __ Date:
To the Inspector of Wires: By this a licat the undersigned . s otices of his or her intention to perform the de tr' a k esscrib d elow.
Location(Street&Number): C Unit No.: t6 i
Owner or Tenant: /67., ote �Q Email:
Owner's Address: g Phone No.: CO ^ 715Y---fp7/
Is this permit in conjunc n wit) t building permit?(Check appropriate box)Yes❑ No 0 Permit No.:
Purpose of Building: U11 e f /4Utility Authorization No.:
Existing Service: (0 0 Amp / _ Volts Overhead Q Underground❑ No. of Meters:
New Service: .)-oa Amps / -/ Volts Overhead N Underground El No. of Meters: /
Description of Proposed Electrical Installation:
-Cie/ /'(e C‘19
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: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No. of Devices:
Swimming Pool: in-Grnd. ❑ Above-Grnd. ❑ Hot-Tub 0 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 El No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ . es:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle pRy Euen : IVFD
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level i CILevel 2 CILe fef3-ID--Rating- - --
OTHER: ' APR 0 9
2024
Attach additional detail if desired, or as required by the Inspector of Wires. .--_
BUILDING DEPARTMENT
Estimated Value of Electrical Work: (When r—dtrired_byanunicipal policy3
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: A-1 0 or C-I ❑ LIC.No.:
Master/Systems Licensee: i LIC.No.:
Journeyman Licensee: 0 VC(Ad f jy4C 17, LIC. No.: 3 c6c7t
Security System Business r uires a Division of Occupational Licensure"S"LIC S-LIC. No.:
W Address: /�yfol /1 e. of, witooq // gP cs
Email: Pi4C„/74/ ( l` & a /^C,/(9L/ - 6_,€),01' Telephone No.: 77 ..1.0pi 3?, 2
I certify,u e the pains a rd penalti s of perjury,that the i rmation n as appl. anon is true and complete.
Licensee: void i G 1 Print Name: Cell.No.: -2D i'9
INSURANCE COVERAGE: Unless waived by the owner,no permit for the perf mance of electrical work may issue unless the license
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 f me to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER El 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.:
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