HomeMy WebLinkAboutBLDE-24-788- 5/17/24,6:47 AM about:blank
Commonwealth of Massachusetts og • ..t, ,
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ELECTRICAL PERMIT 'k f
Job Address: 559 ROUTE 6A Unit:
Owner Name: CAJ INVESTMENTS LLC
Owner's Address: 364 FRANKLIN ST Phone: Email:
Purpose of
Building Commercial Utility Authorization N .: 168418
Is this permit in conjunction with a building permit? No Permit Number: BLDE- 4-788
Existing Service Amps I Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: PerLos&
Description of Proposed Electrical Installation: Upgrade service tW tva ,,v`i
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: �f�'""
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: 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:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,600 Work to Start: May 16, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WILLIAM C NEWELL License Number: 11886
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Plymouth, MA, 02360 Plymouth MA 02360 Fee Paid: $80.00
Email: william.newell@eversource.com Business Telephone: 508-317-4100
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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r= _ _ Permit No.: l—x1 �U
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LMAY 1 - _ ► Department of Fire Services Occupancy and Fee Checked:
B DARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
BUILDINGD '!U
_ A N T
BY.-- -- 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- A - oZ Ll
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): S-c—c7 e„.k 6,4 /1/-1/,,) .r t Unit No.:
Owner or Tenant: C 4 J Tidal',fc.✓1^ LL C Email:
Owner's Address: 364/ Ftot //,J s/� ai4c,r Phone No.: 79'/'(Ali - 7Y/v
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No 2 Permit No.:
Purpose of Building: ca,.7,.ic,-,,./n-C Utility Authorization No.: /6 .4//f.6 S
Existing Service: 'r.1) '., Amps /�ti/ a yc Volts Overhead lUnderground❑ No. of Meters: 2
New Service: //tv Amps /A..) / o Volts Overhead❑ Underground 0 No.of Meters:3/r/oTse
Description of Proposed Electrical Installation: 914 I sr. erk.JO .sc t„� 4�
de , V per,/OA) 4,ha(F4 /
tilt /7(l1 41del `joust .t 4171_,Je-, ia. 1'4r r}J /14 /& 0'4+r9 '4,9 /YliAt /34)
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.❑ 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: 5 140,_, 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:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: A a v. fiJ (When required by municipal policy)
Date Work to Start:S—A _/1 V Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: i/. f�c `, A-Ia,k,4- ( / A-1 ❑ or C-1 ❑ LIC.No.:
Master/Systems Licensee: 4.);/�,R„� nJO..,.,t. // LIC.No.: 4//$$6
Journeyman Licensee: w. ff. , N/w LIC.No.: rJ/f:1 4/f cj (
Security System Business requires a Division of Occupational Licensure"S"LIC.` 1S-LIC.No.:
Address: S-0 wJ(5 ct �,,) C It ud.,.A 3 p n fx ki t)7�G
Email: IAA 14.t, 41/ ajQ ',derG,:.�r e , GJ++-% Telephone No.: ..✓ —3/7^ii/Di-'
I certify,under the pains and enalties of perjury,that the information on this application is true and complete.
Licensee: ki,,c ��,y.,� Print Name: 6,4 A, Ail we !/ Cell.No.: S(3I;?^7/ " /vb
INSURANCE COVE AGE: Unless waived by the owner,nopermit for the performance7 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 sa to the permit issuing office.
CHECK ONE: INSURANCE of
❑ 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.:
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