HomeMy WebLinkAboutBLDE-24-647- 4/22/24,7:15 AM about:blank
.,. Commonwealth of Massachusetts of y. ,
*� Town of Yarmouth
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ELECTRICAL PERMIT �"`',,, 7f ,
Job Address: 81 TROWBRIDGE PATH Unit:
Owner Name: CONSIDINE KEVIN N
Owner's Address: 81 TROWBRIDGE PATH Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-647
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Install additional receptacles.
No.of Receptacle Outlets: 2 No.of Switches: Generator KW Rating: Type:
No. Luminaires: 2 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 22, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH REGO License Number: 14348
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BREWSTER, MA, 026312630 BREWSTER MA 026312630 Fee Paid: $50.00
Email:joe@jregoelectric.com Business Telephone: 508-896-0011
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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Permit No. —04'7
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l i • BOARD OF FIRE PREVENTION REGULATIONS\Ph...". i'll iVcp�y�d�Fee bCahe)ked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -e/-(5'a'I
City or Town of: '/m cn-wr t f04 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 7l j rn w b r:clap Pq}!,
Owner or TenantVsi` ..i,J t ncS.el,1'1e �J Telephone No.53 y,_-7-75-7 iv
Owner's Address SArw
Is this permit in conjunction Mk a building permit? Yes D No ® (Check Appropriate Box)
Purpose of Building /le$ Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:lns'l // Nvti,„jed rerepf4rk3 .)nei sr4me Fren-lrt0 4
.. /&clraoovt 6.rt6/c Avail f ,* ct Flvo( Fren4 lc Aec%oAt Fnani wool.
vlCompletion of the followingt sable maybe waived by the/ ctor of Wires.
No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans
Total
LATransformers KVA
CINo.of Luminaire Outlets `� No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- 0 No.or Emergency Lighting
yrod. Land. Battery Units
1 No.of Receptacle Outlets ) No.of Oil Burners FIRE ALARMS No.of Zones
T No.of Switches No.of Gas Burners -No.of Detectionand
Z. Initiating Devices
Ili n No.of Ranges No.of Air Cond. TonTotas No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.or Self-Contained
Totals: Detection/Alertlag Devices
No.of Dishwashers Space/Area Heating KW Local❑Municipalonnectlon 0 Omer
SecuriCSonnection
s:*
No.of Dryers Heating Appliances KW No. f Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H
y g No.of Devices or Equivalent
(v OTHER: i/o e g-Ige6a ttiE7r-72!6-Lr`^"
C Attach additional detail if desired,or as required by the Inspector of Wires.
v d Estimated Value of Electrical Work: (When required by municipal policy.)
- Work to Start: 4/-/S-oVi Inspections to be requested in accordance with MEC Rule 10,and upon completion.
3 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
r, the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
fy undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER 0 (Specify:) t.7 -ffC6-our I
L I certify,under the pains and penalties of pedury,that the information on this applkation is true and complete.
A. Le FIRM NAME: J /.f. '?eff, \jr. LIC.NO.:/y3kk8A
Licensee: ._ 3 /. }. Signature L1C.NO.:,97 t 70 C
(lfapplicablge,lter,,,'¢¢empt'in t license number line.) Bus.Tel.No.'
Address: i4C. .Ser 9 a8 /3(rc,>4/er sMfj DOG / 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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$ 51