HomeMy WebLinkAboutBLDE-23-20089 guest house 12/28/23, 1:06 PM about:blank
Commonwealth of Massachusetts --by '
. Y .,
*, Town of Yarmouth � �`
ilti
ELECTRICAL PERMIT
Job Address: 59 SQUIRREL RUN Unit: 601537 H' w&
Owner Name: LATHROP KATHARINE L TR KATE L LATHROP 2022 REV TRUST
Owner's Address: 59 SQUIRREL RUN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-20089
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Bath room remodel, replacement lights,A/C disconnect, & remove baseboard
heat in guest house.
No.of Receptacle Outlets: No.of Switches: 4 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 0 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: $ 2,500 Work to Start: December 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: CURTIS CAPRA License Number: 57632
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: EAST FALMOUTH, MA, 02536 EAST FALMOUTH MA 02536 Fee Paid: $75.00
Email: curtiscapra@gmail.com Business Telephone: 774-205-0160
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:
4041/- (7i 2-4
(PL(71
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Commonwealth of Massachusetts 2 Use Onlyq?
Permit No.: e
I_ 'ig,_ t Department of Fire Services Occupancy and Fee Checked:
4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
•-�' 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: /2 jz z/z 3
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): 5-9 5 G u'2/Le/ i2 kivi 57 Unit No.:
Owner or Tenant: /t A 1-4.f}-A_Mi/e (,. -/-6 rp p Email:
Owner's Address: S� ' S 4(1,2 ( /2 i4.9t, Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes j] No ❑ Permit No.:
Purpose of Building: A.eSi Den/h,4) Utility Authorization No.:
Existing Service: /Uv Amps /vo / `fi Volts Overhead Z Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation:ns A4)/4f i4 fZewide It i HS lidI A,,v I,ru// //ti i f(.Oa czs
5A Am"( /—/t 0LSI.(�!ula J /Y N(oa CecbLiC !✓• e6 heii-- (spies/ii,ux.)
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: 0 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 IIP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd. ❑ Hot-Tub 0 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 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 0 Ground-Mount❑ Level I ❑ Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired, or as re urred by the Inspector of Wires.
Estimated Value of Electrical Work: - 0 (When required by municipal policy)
Date Work to Start: /2/Z 2-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: �1A477' if CA7° LIC. No.: Fq 19 3 Z 13
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: moo/ Po&L LIje (A) j9,& Ce n,.e/Z,,lk sti1fi55 O?t,3 -a
Email: C k(7)S C fl ko aft 0 9.4'1 A 1 ) i Cc -i Telephone No.: 7 T --2oS- O( 6 O
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.'
Licensee:C�2 J, , -) CA/0:I - Print Name: Cv1 tTl) k Cftl ei - Cell.No.: i q -2OS-O/ 1.00
INSURANCE 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 acne to the permit issuing office.
CHECK ONE: INSURANCE [ ] BOND 0 OTHER❑ Specify:
OWNER'S INSURANCE WAIVER: I am aware that li liability insurance coverage normally
required by law. By my signature below,I hereby waive tldi r eE: _a-._the:_ k one)Owner 0 Owner's agent❑
Owner/Agent: Tel.N : —
Signature: DEC 27 2n ii.:
B LDING DEPARIM NT
BY __ —
t)LfS 140