HomeMy WebLinkAboutBLDE-23-19907 11/28/23,2:12 PM ry\\ about:blank
ti Commonwealth of Massachusetts ov •y, �
* Town of Yarmouthc.
If
ELECTRICAL PERMIT
Job Address: 7 VENUS RD Unit: 1--kokiite2
Owner Name: STEVENSON CAMUEL.13LIR S W STEVEPJ8ON RLTY TRU-
Owner's Address: 562 -&T RD UN .5C-1 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19907
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Remodel kitchen
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: ln-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 E Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 2,000 Work to Start: November 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KURT CASANOVA License Number: 23129
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: YARMOUTH PORT, MA, 026752409 YARMOUTH PORT MA
026752409 Fee Paid: $75.00
Email: casanovaelectriccorp@gmail.com Business Telephone: 508-280-0466
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 4///a.machusette Commonwealth Only
eCJepaetment o/ ire�ervicee Permit No. ` !/� I D
Occupancy and Fee Checked (((
.� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
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 INFORMATION) Date: 11/7/23
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 7 Venus Rd
Owner or Tenant kk rj-f( C. N , L-c C_.= Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes n No ❑ (Check Appropriate Box)
Purpose of Building Home Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd E pri.E
ileiefrr. 7 D
.� New Service Amps / Volts Overhead❑ Undgrd E i No.of MtIn ers ""1
Number of Feeders and Ampacity NOVr 2 7 2023
kLocation and Nature of Proposed Electrical Work: Kitchen remodel
BUILDING DE PARTMFNT
Completion of the following table may b- y' - . •-•, :
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf ot
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Q.0 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
kJ No.of Ranges No.of Air Cond. Total No.of Alerting Devices
N Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ MunicipalConnection ElOther•
No.of Dryers Heating Appliances KW Security Systems:*
rY No.of Devices or Equivalent
No.of WaterKVV No.of No.of Data Wiring:
Heaters 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: $2,000.00 (When required by municipal policy.)
Work to Start: 11/27/23 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Specify)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Casanova Electric Corp C.NO.: 23129-A
Licensee: Kurt Casanova Signature f Tl:-'.1' LIC.NO.: 12340-B
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.• 508-280-0466
Address: 39 Harpoon Lane,Yarmouth Port,Ma 02675 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 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
Signature Telephone No. PERMIT FEE: $ 75.00