HomeMy WebLinkAboutBLDE-24-239- 2/16/24, 7:00 AM about:blank
Commonwealth of Massachusetts =oF•
* 47:0'
-„ Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 44 CEDAR ST Unit: t�G z07
Owner Name: CHIULLI ANTHONY
Owner's Address: 3 COBBLESTONE LANE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-239
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Master bedroom, bath,& laundry. Upgrade smoke detectors.
No.of Receptacle Outlets: 12 No.of Switches: 7 Generator KW Rating: Type:
No. Luminaires: 1 No.of Recessed Luminaires: 5 No.Wind Generators: Wind KW Rating:
No.Appliances: 1 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 ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
I Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
l No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: February 12, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: SIMON BABA License Number: 22714
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CENTERVILLE, MA, 02632 CENTERVILLE MA 02632 Fee Paid: $75.00
Email: theneighborhoodelectricianllc@gmail.com Business Telephone: 774-9945-0255
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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. Commonwealth.alKeeneLeas Official Use Only
'rJ @l:: E' ` spa 'd o,/ ,..s.,..iea* Permit No. [��/.`T�Z�
u 1 I'4' Occupancy and Fee Checked 1
v w _ " BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed inaccordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
'v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z 11 2Y
City or Town oft Ycr w.liv To the Inspector of Wires:
By this application the tmdersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) tf q 6.44 St- /a1 U y4(wte..
Owner or Tenant C�,vLii,a.,IMr�... (LiU\k; C rl -,,...f TelephuneNo.
Owner's Address ') p�n•-e- IA0- Cct.JtM �+ ►�
E
is this permit in conjunction with a building permit? Yes No ❑ (Check t�aprMJ o�)�
S
oF111h Purpose of Building kj7%-€_ Utility Authorization N. �p _
Existing Service /Amps �/ Volts Overhead❑ Undgrd❑ Eeb4 2024
New Service / Amps , Volts Overhead❑ Undgrd❑ -pfpfgt'm,„„T.AtENT
Number of Feeders and Ampacity "y ---
Location and Nature of Proposed Electrical Work: 4.e adA,-;t,;,,,,,. ,_,r',1(,1
/4v,..)1A3 Coo . L I, gtwA.e u,lt Ke 1c
vlCompletion of thefallowin$table may be waived by the/ for of Wires.
11t No.of Recessed Luminaires 5 No.of Ceil.-Susp.(Paddle)Fans Tr Transformers KVA
Si
allo.of Luminaire Outlets No.of Hot Tubs Generators KVA
ra
4 No.of Luminaires I Swimming Pool Above In- No.of Emergency cy Lighting
g grod. 0 grnd. 0 Battery Units
No.of Receptacle Outlets 12 No.of OU Burners FIRE ALARMS No.of Zones
No.of Switches 7 No.of Gas Burners No.of Detection Initiating Devices
11,1 No.of Ranges /. No.of Air Cond. Total TOM
Tons No.of AlertingDevices
No.of Waste Disposers Heat Pump Number Tons_._KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers / Space/Area Heating KW Local 0 Municip Other
z Do1� Connection
No.of Dryers . Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
ng:
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDevices
Equivalent
of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 10,CC (When required by municipal policy.)
Work to Start:2 -12-2.y 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 BOND 0 OTHER 0 (Specify:)
1 certify,under the pains and'qr�'readies of perjr that the Information on this application is true and complete.
FIRM NAME: line Nek13030‘1,j e ri,,,,, "'11 .1.0, LIC.NO.: 2271y-i
Licensee: cY't0n Vebh. V Signature V LIC.NO.: S 2.
Of applicable,enter"exempt"in the license masher line.) Bus.TeL No..17 99Y ir15S
Address: 24 rt G,.,e.r4- (.,.P ran f,.H]e .i4d 26 z
*Per M.G.L.c.147,s.57-61,security work requiresDepartment of Public AIL TeL No.:
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 0 owner's agent.
Owner/Agent
Signature Telephone No. (PERMIT FEE:$
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