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HomeMy WebLinkAboutBLDE-24-190 2/6/24, 6:55 AM about.blank Commonwealth of Massachusetts ; oF• Y. '. Town of Yarmouth y o3 ELECTRICAL PERMIT Job Address: 9 HOCKANOM RD Unit: Owner Name: SANTERRE LINDA TR SCHACHTER KEITH TR Owner's Address: 9 HOCKANOM RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-190 Existing Service Amps/Volts Overhead Cl Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Remodel bedroom & bathroom. No.of Receptacle Outlets. 5 No.of Switches: 7 Generator KW Rating: Type No. Luminaires: 5 No. of Recessed Luminaires: 6 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 El 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 El Level 3 Cl Rating: Estimated Value of Electrical Work: $ 11,000 Work to Start: February 6, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: RAYMOND E LAFLEUR License Number: 16814 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Barnstable, MA, 026301426 Barnstable MA 026301426 Fee Paid: $75.00 Email: scott@rslafleurelectric.com Business Telephone: 508-775-6814 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: ,GN,'\e4A— 43(2)4 ‘f-- about:blank 1/1 • ..... ...„...7: Eiv ..._ 1.4.1: e... ...,... _-;..,,,,_ Conunonmoatrh a/Vieuseaduceelie Official Use Only FEB 0 5 ''__0"='•V' � 9partr..nr a/.}Ino.�orvicc� Permit No. �Z�-k—lg.O aLI,LDI,�°t'"0', i. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked av_ -. - - — 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)City or Town of: Date: i I 1 a(� j�Cl-( (` t�i1 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descri ed below. Location(Street&Number) C� Owner or Tenant .Se`jthc, aA-i 5c2/1ZCIYt; Telephone No. I Owner's Address Cc(.C� Is this permit in conjunctio with a building permit? Yes No `kC Purpose of Building 4- t3ja 71 El (Cheek Appropriate Box) i�L�ltlri � Utility Authorization No. w Existing Service Amps / Volts Overhead ❑ l� New Service Undgrd❑ No.of Meters cZt Amps / Volts Overhead❑ Undgrd❑ No.of Meters ( ti Number of Feeders and Ampacity v` Location and Nature of Proposed Electrical Work: -0Completion of the followrngrable may be waived by the Inspector of Wires. lit No.of Recessed Luminaires / No.of Cell,-Sus No.of Total fp p.(Paddle)Fans Transformersq. KVA n C No,of Luminaire Outlets No.of Hot Tubs J Generators KVA �: No.of Luminaires Swimming Pool Above In- No.of Emergency Lighhng grnd. U grnd. U Battery Units J No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and t�i No.of Ran es Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pump 1Number..Tons. _I_KW_ No.of Self-Contained Totals: ��� ��� ��� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Other No.of Dryers Heating Appliances KW Security Systems No.No.of Water No.of No.of No.of Devices or Equivalent Data Wiring: Heaters Signs Ballasts No.Hydromassage Bathtubs No.of Devices or Equivalent B No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:481 C Work to Start: (When required by municipal policy.) 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.0 BOND I certify,under the Jarts and enalti s o 0 OTHER 0 (Specify:)FIRM NAME: - 41 s jperjury,that the Information on th' appluado Ile and complete. �C2 ��rt^ LGL Licensee: ` a r7ec4c- L[C.NO.: ( yQ j (If applicable.enter"exempt"in the license number line.) Signature LIC.NO.: Address: Bus.Tel.No,:�© 7 p 'Par M.G.L.c.147,s.57-61,security work /requires Department of Public Safe Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware thatpthe Licensee does not have the liability insurance coverage normally Safety S"License: Lic.No. required by law. aw. By my signature below,I hereby waive this requirement. ]am the(check one ❑owner Owner/Agent •owner's a•eat. Telephone No.