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HomeMy WebLinkAboutBLDE-24-719- `.J /24,5:50 AM about:blank Commonwealth of Massachusetts o,t • y:1 * Town of Yarmouth , , , . �� r 0 °� '� ELECTRICAL PERMIT Job Address: 167 BAXTER AVE Unit: Owner Name: RIITANO JOSEPH Owner's Address: 6232 JOHNSTON RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-719 Existing Service Amps/Volts Overhead❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground 0 No. of Meters: Description of Proposed Electrical Installation: Install UFER ground 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 0 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 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 500 Work to Start: May 6, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00 Email: neileileen@comcast.net Business Telephone: 508-776-1857 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: A è W-r3Acz_ Q.0" r4. 0,-(7(.1( about:blank 1/1 Commonwealth of Massachusetts Official Use Only, Permit No.: �Zq-71 I-.1�1-6t Department of Fire Services Occupancy and Fee Checked: c,= l— i BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/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: s. 3 -- 2©.2'{ 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): I b 7 '}'e/' cwe_ w'y*tom Unit No.:., Owner or Tenant: TQ e RI r T 4N O Email: To ie ' t erA Na Oe �j a t i •G✓.s~ Owner's Address: 'hone No.: ��!! Is this permit in conjunc n with a building permit?(Check appropriate box) Yes la No ElPermit No.: Purpose of Building: C `%.01-.0---- G-Co Al0i / q Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters: New Service: 2 D Q Amps/ 24P /.2-f1) Volts Overhead El�nderground❑ No. of Meters: Description of Proposed Electrical Installation: f /l/ T-79-/► . d U''t 13 L)t ,-----e_- 0 v'1. R , pi y=p v,-) a-t v6 7r` P 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❑ No.of Devices: Swimming Pool: In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level I ❑ Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: S O U (When required by municipal policy) Date Work to Start:IQ '202'-f Inspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: /v e:t Sc L►O e i e A-1 0 or C-1 ❑ LIC.No.: Master/Systems Licensee: LIC. No.: // 3 /c-[ Journeyman Licensee: LIC. No.: Security System Bussines requires a Division of Occupational Liensure"S"LIC. S-LIC.No.: � Address: t( bra L)— ' L V Email: gl :S;I ' ne, t etlee''ttec telephone No.: j 0:/ I /tv/Ys? I certify,u er he pains an pe !ties of perjury, that the information(`on this application is true and complete. C Licensee: �( 1 ti Print Name: A./ t t ( JLL/I "'i- Cell.No.: SG d 7 � r7 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"comp ed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER❑ 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❑ Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: