HomeMy WebLinkAboutBLDE-24-767 07 iivc C. /4 06.We'SS FC aM 9 ,26 74) 1
Commonwealth of Massachusetts of•Yap
lki." Town of Yarmouth
ELECTRICAL PERMIT wits
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Job Address: 29 BARNBOARD LN Unit:
Owner Name: MONAHAN CATHLEEN C
Owner's Address: 6 SHADY LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 15602647
Is this permit in conjunction with a building permit? Yes Permit Number:BLDE-24-767
Existing Service Amps/Volts Overhead 0 Underground❑ No.of Meters:
New Service Amps 200/Volts Overhead❑ Underground m No.of Meters:1
Description of Proposed Electrical Installation:New residence
No.of Receptacle Outlets: 50 No.of Switches: 35 Generator KW Rating: Type:
No.Luminaires: 20 No.of Recessed Luminaires: 15 No.Wind Generators: Wind KW Rating:
No.Appliances: 3 KW: No.Water Heaters: 1 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 19 No.of Devices:
Swimming Pool: In-Grnd.El Above-Grnd.El Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 7
No.Oil Burners: No.Gas Burners: 1 Video System ❑ No.of Devices:
No.Air Conditioners: 1 Total Tons: 2 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 Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 Cl Level 2❑Level 3❑ Rating: i
Estimated Value of Electrical Work:$35,000 Work to Start:May 10,2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee:TIMOTHY B DONOGHUE License Number:12522
Security System Business requires a Division of Occupational Licensure
"S"LIC. License Number:
Address:Millbury,MA,015273315 Millbury MA 015273315 Fee Paid:$180.00
Email:tdonoghue1234t tgmail.com Business Telephone:508-579-4545
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: LIM
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Commonwealth of Massachusetts Official Use O
_ Permit No.: e2
—illir_ ri Department of Fire Services Occupancy and Fee Checkc :
o'! BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
`-.64 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 5 7 CMR 12.00
City or Town of: YA R M O UTH _ • Date: 5 /o/.2 v,7,y
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): a.c.7 barn hoorJ LA._ Unit No.:
Owner or Tenant: rt in /1. .. 4ir Email: ectA k „v / c‘.: .
Owner's Address: 2 c j .nbe>p-J L A- Phone NV
Is this permit in conjunction /with a building permit? (Check appropriate box) Yes El" No ❑ Permit No.: 61-1M-.2.3-/-2Ye2°
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Purpose of Building: ege c(ev j 9 we,lfi jl Utility Authorization No.: / 6 0,2 ' '/?
Existing Service: Amps Volts Overhead ❑ Underground ❑ No. of Meters:
New Service: 2 dL Amps 12o / yv Volts Overhead ❑ Underground [" No. of Meters: /
Description of Proposed Electrical Installation: -7n5I41' urtdler re�'( 2cr� Ae"� �5er i� urtck 4 " br4Ac4(
V
`IC vir (le I-4J L.'s -e i A G lad.&' ..45 -P,nA Sl,.
Completion of the following table may be waived by the Inspector of Wires.
No. of Receptable Outlets: t No. of Switches: ,j j' Generator KW Rating: Type:
No. Luminaires: 20 No. of Recessed Luminaires: /S No. Wind Generators: Wind KW Rating:
No. Appliances:3 KW:t �,,t No. Water Heaters: f KW: No. Transformers: Total KVA:
�_ Space Heating KW: JJ Heating Equipment KW: No. Motors: Total fIP: Total KW:
No. Heat Pumps: 0 Total KW: Total Tons: Fire Alarm System v❑' No. of Devices:
Swimming Pool: In-Grnd. El Above-Grnd. El Hot-Tub 0 No. of Self-Contained Detection/Alerting Devices:
No. Oil Burners: No. Gas Burners: 1 Video System 0 No. of Devices:
No. Air Conditioners: / Total Tons: Telecom System ❑ N M. e
r— . f IVEDI
c No. Energy Storage Systems: KWH Storage Rating: Security System ❑ AD. o .ick. ._.....,__
t.
Solar PV KW DC Rating: Solar PV KW AC Rating: No. of Electric Vehicle Supply qu pment:
No. of Modules: Roof-Mount El Ground-Mount ❑ Level 1 El Level 2 ElLevel 3 : 1 0 2024
IL
IM
OTHER:
BUILDING DEPARTMENT.
Attach additional detail if desired, or as required by the Inspector of Wires. By.
G"\s Estimated Value of Electrical Work• - . 800 (When required by municipal policy)
Date Work to Start: //01 v
Inspections to be requested in accordance with MEC Rule 10, and upon completion.
=— FIRM NAME: '
f l�'►t�►�� ecirit, A-1 ❑ or C-1 ❑ LIC. No.: 05226
Master/Systems Licensee: LIC. No.:
. Journeyman CO ‹... LIC. No.:
Security System Business require a Division of Occupational Licensure "S" LIC. S-LIC. No.:
Address: 2 LA kQ Y- iVl, II bt/i" ill A 01-S J2 7
�j J
Email'.-1c ov ,e 1.2-.3 L1 0 ALIa 1 , ,L-S _ Telephone No.: 5O :3-7'i—(454.
I certify, under the ain and penalties of perjury, that the information on this application is true and complete.
Licensee: �f, Print Name: �t n t ��✓� Cell. No.: J-.SUIS.;���`y-�ys
INSURANCE ,1` ERAGE: Unless waived by the owner, no perm for the performance of electrical work may issue unless the licensee
provides proof of liability including "c mpleted operation" coverage or its substantial equivalent. The undersigned certifies that such coverage
is in force and has exhibited proof of me to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER n Specify: I d;'l,f'9
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
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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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