HomeMy WebLinkAboutBLDE-24-696- about:blank
....... , -� Commonwealth of Massachusetts 0
WibTown of Yarmouth
ELECTRICAL PERMIT .<.
Job Address: t Cc (,t)c-5 r Sl 4 L C it:
Owner Name: iPNNc (jO1&N ••De2C7/1-Sr
Owner's Address: _ Phone: Email:
Purpose of Utility Authorization No.: Not
Building Residential provided
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-696
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Upgrade service
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: $ 3,000 Work to Start: April 29, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL\A'CASHEN License Number: 13422
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Harwich, MA, 026452145 Harwich MA 026452145 Fee Paid: $50.00
Email: m.cashenelectrician@outlook.com Business Telephone: 774-212-1852
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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Commonwealth of Massachusetts
I! -_� Permit No.: �� 4 i
1:— ' Department of Fire Services Occupancy and Fee Checked:
*, _ - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
City or Town of: YARMOUTH _ • Date: ii- 30 -02 y
To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below.
Location (Street & Number): C10 w?$t Wirinvot-ii ef? Unit No.:
Owner or Tenant: JbctVY1e n Email: �-
Owner's Address: C wtC Phone No.: 7 — 2/ 7 - / if�Z,
Is this permit in conjunctionwith a building permit? (Check appropriate box) Yes El No Permit No.:
Purpose of Building: li005e Utility Authorization No.:
Existing Service: MC) Amps MHO Io O Volts Overhead [A Underground Li No. of Meters: /
New Service: 00 Amps /2CO /c fC) Volts Overhead L Underground Li No. of Meters:
Description of Proposed Electrical Installation: e Ict.ce tS4iYl .e.(--,),t_t_ )( .4-lek
iue(„,3 Loon Sewcc -e
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 D 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 0 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 E0 1 iv- a.i .
No. D
of Modules: Roof-Mount ElGround-Mount I: Level 1 ElLevel 2 CILevel 3 ` Rw nP ' Y I V _ I
OTHER:
APR 3 0 2024
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3 . 6-
i (When required ymaim; : , Auf TM E NT
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Date Work to Start: $1:34--/Z-q Inspections to be requested in accordance with MEC pon comp a ion.
FIRM NAME: /(4%-eAel ( ?' cftr ran --��/'C _��t C! A- 1 ❑ or C 1 0LIC. No.:
Master/Systems Licensee: LIC. No.:
Journeyman Licensee: 1M ‘GL . I c4SL _ LIC. No.: t q A.A a
Security System Business requires a Division of Occupational Licensure "S" LIC. S-LIC. No.:
Address: lcc3 Cal eADts /eta f/1- 4e4 , 44 C!Z G cis-
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Email: I (t • C' ISL4aeCdrie-t a n & CJV /ook. Telephone N : 7Li " Zi ? - ` '
_ p • .. 7
I certify, under the pains and enal 'es of perjury, that the information on this application is true and complete.
Licensee: YPt Print Name: P (2 (11A- S 14-‘._ Cell. No.: 77%' e /24`r=5
R.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee
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 of s me to the permit issuing office.
CHECK ONE: INSURANCE Iris BOND LI OTHER Li 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 El Owner's agent g Eli
Owner / Agent: Tel. No.:
Signature: Email.:
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