HomeMy WebLinkAboutBLDE-24-789- 5/17/24,6:52 AM about:blank
Commonwealth of Massachusetts -6F y-4. ..
* Town of Yarmouth ��
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ELECTRICAL PERMIT
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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 No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-789
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: Wiring for two combination gas/electric ovens.
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: 2 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 0 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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 600 Work to Start: May 30, 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. Lic se Number:
Address: Plymouth, MA, 02360 Plymouth MA 02360 Fe Paid: $80.00
Email: william.newell@eversource.com Bu iness Telephone: 50 -317-4100
INSURANCE COVERAGE: Unless waived by the owner, no permit for the perform nce of electrical w may issue unless the
licensee provides proof of liability insurance including "completed operation" covera or its substa ' I equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to i issuing office.
INSURANCE:
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—_______ Commonwealth of Massachusetts Official Use Onl
*a Permit No.: —7
MAY 6=; �_;t Department of Fire Services Occupancy and Fee Checked:
�Y O RD OF FIRE PREVENTION REGULATIONS 1
- .. +® 1-�-r'" ENT Rev. 1/2023
gU1LDING - ,�� PLICATION 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=/I-.Z i/
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): ..C3 c ,e,„-1 t 6 a yq t,:4 4-/- Unit No.:
Owner or Tenant: C 9-Cr .,Ura,l rrra✓a LL C. Email:
Owner's Address: 36li F/4 i ,t 1 f Duo Phone No.: 7b/ -yy/ - ?-7 4
Is this permit in conjunction with a building permit?(Check appropfiate box)Yes❑ No'Permit No.:
Purpose of Building: C007 n e'-,C-14 Utility Authorization No.: / ,4,el 1 tG G f
Existing Service: Amps / Volts Overhead❑ Underground El No. of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: 1,✓,;1�f�../0,-, ,7 r , „/c,, i.,,„S,,./4 T r. , h1 cr
4cl/e,i dtie✓.S
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:2, 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 0 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 0 Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: GOv (When required by municipal policy)
Date Work to Start: 4--30 —..t/ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A - fr.4 L-A.,.. 4.[ A-1 ❑ or C-1 ❑ LIC.No.:
Master/Systems Licensee: (,v,11,L... hIeweil LIC.No.: 4L L ✓
Journeyman Licensee: d✓ IL r,f�.tf LIC.No.: .J I ge 455/
Security System Business requires a Division of Occupational Licensure"S"LIC. /� S-LIC.No.:
Address: re;' N� 4 ha 5 d-LL u..,r/' 3 01, AA_h4 M/X r7.1 716
Email: it)/I/,ow. , A#se_(0 r„G,/'r,h�/'r..e . (i..,,l, / Telephone No.: .f 17✓`3/7—1/ldv
I certify,under the ains and penalties of perjury,that the information on this application is true and complete.
Licensee: 4.' Print Name: P.//ai•. A/4.,.P Cell.No.: s J*'7/7^4/o.,
INSURANCE COVE GE: 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 sa to the permit issuing office.
CHECK ONE: INSURANCE BOND El 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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