HomeMy WebLinkAboutBLDE-24-449 main house 3/20/24,3:16 PM \./l about:blank
Commonwealth of Massachusetts =o .
*� •
476.
' Town of Yarmouth z
0 y
ELECTRICAL PERMIT ,: en
Ac
Job Address: 59 SQUIRREL RUN Unit: MA t tv "/euce
Owner Name: LATHROP KATHARINE L TR
Owner's Address: 59 SQUIRREL RUN ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-449
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Remodel bathroom, change exhaust fan, install recessed lights, & hang
sconces.
No.of Receptacle Outlets: 1 No.of Switches: 2 Generator KW Rating: Type:
No.Luminaires: 1 No.of Recessed Luminaires: 1 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: March 20, 2024
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:
g‘p. tfI?-4v-t -
C -- S(1( 2c Ii -
1/1
about:blank
e m a-, )-el ___ I ns u.runee 16 y 62A--
Commonwealth of Massachusetts Off ial Use
Permit No.: i
1_ r Department of Fire Services Occupancy and Fee Checke :
7
10
14 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: YA R M O U T H_ • Date:
To the Inspector of Wires:By this application,the undersigned gives noti es ofhis or her intention to perform the electrical work described below.
Location(Street&Number): Sf 5 QKt Rx�/ I2 (M,Mgu 61ot[se) Unit No.:
Owner or Tenant: Email:
Owner's Address: 5--5 Sit 1 r-�f :2aa/ Phone No.:
Is this permit in conjunction with a buildjn permit?(Check appropriate box)Yes K No❑ Permit No.:
Purpose of Building: /)',ae-+)fi.4 / Utility Authorization No.:
Existing Service: 20e2 Amps/2 a / ZVd Volts Overhead❑ Underground 16 No. of Meters: I
New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: drxa r?„vf&At// D/p ,c-D Lk CA-4-4?e -ex-144i(sf-
1
AP,11 / i'4S/A// 'et c / u/ - SoAr/ceS
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: I No.of Switches: Z 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.0 Above-Grnd.❑ Hot-Tub❑ 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❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipmi lltt
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3 0 Rati rR: E C E ' V E
OTHER: r
MAR 2 0 2024
, L
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: /, (-Ore' (When required by mtnia*piipt1.. EPARTMENT
Date Work to Start: 3/Z0/2 y Inspections to be requested in accordance with MEC Rule 1.(,Y . , . ,
FIRM NAME: A-1 0 or C-1 ❑ LIC. No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: C '4'Z nI e17 LIC.No.: S9-4,3Z -.3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 5-, Pohl✓le ) 0 L ce..AirCiYir/t( M115 0 2h'3 Z-
Email: Ct4' -7.)CiftI K� y r(4 /,COW _ Telephone No.:
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: 1./h f l 7'' Print Name: C tA.fi s (Ar iZ t Cell.No.: 1/2 -D/b 0
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 ame to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER 0 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 0
Owner/Agent: Tel.No.:
Signature: Email.:
tip, ,-.paa'r