HomeMy WebLinkAboutBLDE-24-96 1/19/24,6:49AM about:blank
� Commonwealth of Massachusetts of•• Y .
*.4 ; Town of Yarmouth i' c
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ELECTRICAL PERMIT ' ;_
Job Address: 145 SPRINGER LN Unit:
Owner Name: BACON MARY A(LIFE EST) CIO BACON JOHN JR
Owner's Address: 18 NATURE TRL Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-96
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Recessed lights, vanity lights, & replace smoke detector.
No.of Receptacle Outlets: No.of Switches: 2 Generator KW Rating: Type.
No. Luminaires: No.of Recessed Luminaires: 14 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: $ 5,000 Work to Start: January 18, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PATRICK WEEKS License Number: 54055
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Marstons Mills, MA, 026482114 Marstons Mills MA 026482114 Fee Paid: $50.00
Email: pat@pwelectricllc.com Business Telephone: 508-967-5918
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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ILL 60 14/L. Llc/i/k.75
4 Commonwealth of Massachusetts �:ZD`!°�
r Permit No.:
k +�1—E Department of Fire Services Occupancy and Fee Checked:
1 ' OF FIRE PREVENTION REGULATIONS [Rev.1/2023]
EulLUI I�I.
' ' 'LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00
City or Town of: YARMOUTH Date: / 10 y
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the rice6cal work described below.
Location(Street&Number): PO-5 p R I noJE.R- L iv Unit No.:
Owner or Tenant: Email:
Owner's Address: /4,S 5prttn s:e. Lu Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No In Permit No.:
Purpose of Building: ?.£St Ixra'r lA-t- Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: 2.4sc t£AT ie(C£.s-seD L I1 n q/ oh,—y I tgta Tte y
5Mo1r_C ACAi.H -Rgpoic£...s.LT--
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: 2- Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: MEI/L( 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 Alann System❑ No.of Devices:
Swimming Pool:In-Gmd.El Above-Gmd.❑ 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❑ 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 I❑ Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electric 1 Work: SGs7U (When required by municipal policy)
Date Work to Start: I//II 2 y Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME:?ATgK1CLA (EJS ('L 7atiIA,v/JL A-I 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: 641O6-S-$ LIC.No.:
Security System Business requires a Division of Occupational Licensure/ "S"LIC. A A S-LIC.No.:
Address: t a .-pl-1 ytut5 'Diz .�uT H Y ji RM Oul-I, MA Uz 6 G y
Email: ?A., Co rpWCLacTel(I,LG. Co*, Telephone No.: S CV'-9'L7-Sy1B'
I certify,under the airs and penalties of perjury,that the information on this application is true and complete.
Licensee: Print Name: 'rE/Ct IWJEEA-1 Cell.No.:&Jr-Q(7-5-9/1
INSURAN 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 a 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 0 Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
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