HomeMy WebLinkAboutBLDE-23-18985 6/22/23,7:14 AM , „ about:blank
`/l7/ Commonwealth of Massachusetts o; YA a
*4 Town of Yarmouth ,,rc
3! y
' ELECTRICAL PERMITce ,et
Job Address: 38 POINSETTIA DR Unit:
Owner Name: ROONEY PAUL J ROONEY MARIANNE M
Owner's Address: 38 POINSETTIA DRIVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18985
Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Hot tub& miscellaneous work per attached.
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 ICJ 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: $ 1 Work to Start: June 22, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WALTER W KELLY License Number: 21302
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST YARMOUTH, MA, 026732731 WEST YARMOUTH MA
026732731 Fee Paid: $85.00
Email: wkelly_@walperwkellyelectrician.com Business Telephone: 508-360-6471
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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_J � ccyy c�'// Permit No. -2-3 (I d>S.
aL.)e arlrnanl yiea Services
.(-, .. ,:a -13 P Occupancy and Fee Checked
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,;,` BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
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�� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME ).527 C R 12.00
-� (PLEASE PRINT IN INK OR TYPE1 NFORMATION) Date: (Q 1-6 ,2.3
City or Town of: y l t ICi Lim To the Inspector o Wires:
By this application the undersign gives n e of his or her intentionto perform the electrical work described below.
3 i Location(Street&Natt/�J er) 1 p/.)S-o///`1 O r s ldt!"`-6'`-. 2 0
Owner or Tenant {/aJl �nf Telephone No.7//`-656-J' 5,
Owner's Address ; 1)e t N.5 0 t - 0 r. ,S• v r- Jln
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
�..__L. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Pr osed Electrical Work: i o f i'J '-f.ui �C k-T
3.�Q,-JOrai-er11couS er-5tti;fl, - W:vlA O/�, -,7tG.9.l�,E OJ Af( /J /(
"J 1 -°f.�(` Vl( p A) (�'hLtt_y L T , (btttpletion of the following table may be waived by the Inspector o Wires.
!^ ota
No.of Recessed Luminaires No.of CelL-S (Paddle)Fans No.of KVA
a+P• Transformers KVA
- No.of Luminaire Outlets No.of Hot Tubs Generators KVA
C Above In- No.of Emergency Lighting
s. No.of Luminaires Swimming Pool grad. ❑ mod. ❑ Battery Units
CR No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection
Initiating Devices
and
Total
`44"-No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
r No.of Waste Disposers Heat Pump Number Tons ION _No.of Self-Contained
Totals: — Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Lththl 0
MConnoicipal
n ection ❑Other
1),voNo.of D ers Heating Appliances KW
Security S stems:'
ry No.of evices or Equivalent
No.of Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or E uivalent
Telecommunications'Wiring.
No.Hydromassage Bathtubs No.of Motors Total HP
lNo.of Devices or Equivalent
''''' OTHER:
Attach additional detail ifdesired,or as required by the Inspector of Wires.
?Estimated Value of Electrical Work: (When required by municipal policy.)
C� Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
. I.INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless
(
J'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 ig BOND ❑ OTHER 0 (Specify:)
I certify,under thepaitis and penaltief of pOury,IA.the information on this apMarian is true and complete..
FIRM NAME:1A t l W 24 Q_C' r f Ca C'b/.) I)i C. LIC.NO.:complete.,
u�-
Licensee: �,()t ... \\ Signature UQt Q t l/J�.L--- LIC.NO.:S I."3 c,/
(Ifapplicable.enter"exempt" t to license number litre.) v" us.TeL No..
Address: "7 CA(�/)=r)r\ f7 L-yLJ (i{J, y/'//L f1]L /'�(b Alt Tel.No.: C06—'')(/1-4.,41
°Per M.G.L.c.147,s.57-61,security work requires Department of Public 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/AgentPERMIT FEE:$Sc r
SignatureTelephone No.