HomeMy WebLinkAboutBLDE-24-176 2/2/24, 1:22 PM about:blank
Commonwealth of Massachusetts of• Y-4
Town of Yarmouth z 0`
ELECTRICAL PERMIT k
Job Address: 9 JIBSTAY RD Unit:
Owner Name: LECCESE GEORGE D LECCESE BERNADETTE E KELLY
Owner's Address: 9 JIBSTAY RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-176
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Convert garage to finished space, install sub panel & mini split.
No.of Receptacle Outlets: 11 No.of Switches: 12 Generator KW Rating: Type:
No.Luminaires: 3 No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: 0 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 0 No.of Devices:
No.Air Conditioners: 0 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 0 Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 5,600 Work to Start: February 5, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KURTIS LORDEN License Number: 59401
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: HARWICH, MA, 02645 HARWICH MA 02645 Fee Paid: $75.00
Email: writer6p@msn.com Business Telephone: 508-225-1630
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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l,ommoa,vea[fh l MamacLiel/4 Official
Use Only
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L/i• ' B. :r Permit No. . 2j1 f—k l
.2eparbnanl a`.w.Sieaicet
Occupancy and Fee Checked
• BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07) (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Maasacbusetts Electrical Code(MEC).527 CMR 12.00
V (PLEASE PRINT IN INK OR TYPE ALL INFORMATTON) Date: a/d/2
City or Town of: �wc evt o,,,'� To the Inspector of Wires:
C By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
i Location(Street&Number) 9 Tt.i7 s ,/ Rol
Owner or Tenant J&z l'5 i g0 b e r i/, P,o f(p Telephone No. Q7r 6422 V0 10
Owner's Address �] f i!j 5} w., Ro.ul
Is this permit in conjunctionnc with a building permit? Yes Er No ❑ (Check Appropriate Box)
Purpose of Building lnc.ri,5, C:„n,pr d-N-1 Io Utility Authorization No.
Existing Service 12.9 Amps (I,D /,,�IJ Volts Overhead❑ Undgrd a No.of Meters
;New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Zori✓,z;-- ue 49 e .}o i-lcs 6 tie) 50,i4s.e
• L 1.15411.1 SKJ i,"c,r-(. I,/..G Min.' 5t,('1-
VICompletion of thefollowing,table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans / No.of Kohl
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
t
Above In- No.of Emergency Lighting
-t No.of Luminaires 7 Swimming Pool grad. ❑ grad. ❑ Battery Units
No.of Receptacle Outlets /i No.of OB Burners FIRE ALARMS No.of Zones
't No.of Switches No.of Detection and
F /a No.of Gas Burners Initiating Devices
IQ No.of Ranges No.of Air Cond. � Tons No.of Alerting Devices
'Heat Pump Number Tons o.o elf-Contained /
No.of Waste Disposers Totals: fr....___ ..__............... , Detection/Alert)a Devices
No.of Dishwashers Space/Area Heating KW Local❑ tems:*Myy meiPain 0 Other
Securi
No.of Dryers Heating Appliances KW No. f Dsevicces or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
ommunNo.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Deviations Whin .
OTHER: "- IV7- D
Attach additional detail if desired.or as requied y the Inspector of Wires.^i
Estimated Value of Electrical Work: 5 i 40 (When required by municipal policy.) FEB 0 2 2024
Work to Start: 0/5 ,t-/ Inspections to be requested in accordance with MEC Rule 10,andiupcn completion.
INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electribal,iyp[jngy is8ueunkno NT
the licensee provides proof of liability insurance including"completed operation"coverage or its subitatttial equivalent. The__ _
undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: r r e LIC.NO.: 'I�
Licensee: Jl",,L6 (o,oi� Signature 'LIC.NO.:.„. /c / v
(If applicable,enter/"e empt"in the license number lin0 '/ .Tel.No..5 D 6 9/T ri / 30
Address: C NiY—er50„I /�r4 tYa'v,-I-h _MA-0a0 us'12AitTel.No.: 603 7ff 5-0`l
*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/Ag
Signature
Telephone No. PERMIT FEE:$