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Home My WebLink AboutBLDE-24-580 I' 4,7-14 AM about:blank Commonwealth of Massachusetts o,.., 1 *u Town of Yarmouth0` O b -.. `ELECTRICAL PERMIT PERMIT . . %Job Address: 24&32 COMMERCIAL ST Unit: Owner Name: KIMBALL PETER V TR Owner's Address: 5 NAMSKAKET RD Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-580 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Install receptacles for microwave, TV, & refrigerator. (PLATINUM AUTO) 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 Cl No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System El 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 El Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: April 8, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: ROBERT F THIBEAULT License Number: 22475 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: BREWSTER, MA, 026312806 BREWSTER MA 026312806 Fee Paid: $80.00 Email: bobthibeault@comcast.net Business Telephone: 508237-1739 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: / « /24 __ about:blank 1/1 I — '"� • 1 F APR 0 Commonwealth o/'aeeachuosfte Official Use Only :-111-±".- c� Permit No. U I-� ' :*-.. , 2spartmsnf o� irs srvicse BUILDING E (r d Occu By -•--- ''` ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked -- ' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1` 3 All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 Q (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /8fr L o A City or Town of: YA R M O U T H To the Inspector of Wires: 5, By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ` Location (Street & Number) Zy C'c'/h/Yi el>L S Y J- Owner or Tenant PL,4-7 72c1/4 u")-79 Telephone No. _ Nt Owner's Address 3 Is this permit in conjunction with a building permit? Yes ❑ Non (Check Appropriate Box) Purpose of Building Utility Authorization No. q� Existing Service 7-0 a Amps /2.0 12't O Volts Overhead Er Undgrd El No. of Meters - New Service Amps / Volts Overhead ❑ Undgrd 0 No. of Meters r Number of Feeders and Ampacity / zv CU O 1 Location and Nature of Proposed Electrical Work: /,v5i i Gee-S E� Mt c20 c-' '. - ‘.(1. Completion of the followingtable may be waived by the Ins sector of Wires. .Nir t-!i No. of Recessed Luminaires No.of Ceil:Susp. (Paddle) Fans No. of Total �� Transformers KVA =.1 No. of Luminaire Outlets No. of Hot Tubs Generators KVA �i No. of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting - �rnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS [No. of Zones t, No. of Switches No. of Gas Burners 'No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonsol No. of Alerting Devices - K-. No. of Waste Disposers Heat Pump Number Tons KW 'No. of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Co nicipal ❑ ��, 1 Connection No. of Dryers Heating Appliances KWSecurity Systems: KW Heaters No. of Devices or Equivalent No. of Water No. of No.of Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 covers is in force, and has exhibited proof of same to the permit issuing o ice. CHECK ONE: INSURANCE I Y BOND ❑ OTHER ❑ (Specify:) c-° --c ZZ q I certl under ��fy, e the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: p LIC. NO.: Licensee: 8(7 /its e �L,� � Signatur , LIC. NO.: �� (if applicable, enter "exempt"in the licnse number line.) 7 Address: __PG - ,�4I1� b /Z-t> . 5jc y 'r L M4 , oz� Bus. Tel. No.: -23�-�z�� *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety5 License: LiAlt. c. No. el. •� ..,,, 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, 1 hereby waive this requirement. 1 am the (check one) (] owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 15