HomeMy WebLinkAboutBLDE-24-933- 6/12/24,6:23 AM about:blank
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Commonwealth of Massachusetts ;og YA��,
Town of Yarmouth t.a
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. ELECTRICAL PERMIT ,NC�RppRAT EO`b39Af
Job Address: 93 BARNACLE RD Unit:
Owner Name: PEROS SHANE TRS
Owner's Address: PO BOX 386 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-933
Existing Service Amps/Volts Overhead ❑ Underground El No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Disconnect wiring associated with swimming pool (Being removed)
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: 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 El 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 El 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:
Estimated Value of Electrical Work: $600 Work to Start: June 11, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAY W BOMBARDIER License Number: 33621
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mashpee, Massachusetts, 02649 Mashpee Massachusetts 02649 Fee Paid: $50.00
Email: rwbombardier3@gmail.com Business Telephone: 508-274-9282
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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_ Commonwealth o Massachusetts of6ein ltu/enly3
f Permit No.: '� `7.)7
11/' '/ Department of Fire Services Occupancy and Fee Checked: St)
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),537 CI'1R 1 .00
City or Town of: YARMOUTH Date: (,e 1 IA I`?.
To the Inspector of Wires:By this applicatAon,the undersigned g'es notices of its or her intention to perform the electrical work described below.
Location(Street&Number): c1 15 1 A-G�-e 2 U Unit No.:
Owner or Tenant: S�4It,e_As AQ.-g fl4LA Q.Q..'lt-O 5 Email:
Owner's Address: C Lj j•F IL►J A-G-1.Q 20 Phone No.:
Is this permit in conjunAton with,A building ermit?(Check appropriate box)Yes,,No ElPermit No.:
Purpose of Building: root 11'e VI1 Utility Authorizatio No.:
Existing Service: It'd Amps I),0/ aq QVolts Overhead❑ Underground No.of Meters: I
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
. Description of Proposed Electrical Installation:rkkv✓Lw A O't=WI 2 LIJ CI L21_ -'rCD `r0
5v,i Yet M 1,49. Pool t FQv\i)wiPio-r. DD 1-D D-e-w\b (3 pot) I
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 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Gmd.0 Hot-Tub 0 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 0 No.of Outl o
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ cacti.No.of De E C E I V P D
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipm t:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level I 0 Level 2❑ Level 3 0 tin : JUN 1 1 2024
OTHER:
BttttDYNU-DEPARTMENT
Attach additional detail if desired,or as required by the Inspector of Wires. Hy _ .
Estimated Value of Electrical Work: 4 coo.- (When required by municipal policy)
Date Work to Start: (sZ I It Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: QQ-y 1s410NIU id ROwt CN2..L r (L A-1 0 or C-1❑LIC.No.:
Master/Systems Licensee: LIC.No.:Journeyman Licensee: tnn 0 rJ O L -&err\f3.44 Dt e _ LIC.No.: .,... E62- ( -
Security System Business requires a Division of Occupational Licensure
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- "S"LIC. S-LIC.No.:
Address: f' D1,.,IS O tt(��� IV) A v1
3 5 P A- D 1-b tt IEmail: I" W J Q w\J 4 1•e(L—j __G tmot t I-co Iv Telephone No.:5f S d,7 y cl.0.ga
I certify,under the pains/ and enalties of perjury,that the information on this application is true and complete.
Licensee:f?Gcvfu i "Ct-L Print Name: /`A-ymoYvD L.3owt {I 5 d 7t`99-S)-..,
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 same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: