HomeMy WebLinkAboutBLDE-24-637- 4/19/24,6-56 AM about:blank
Commonwealth of Massachusetts of• Y-44
* Town of Yarmouth , c
ELECTRICAL PERMIT
Job Address: 20 KENNEDY LN Unit:
Owner Name: ROUSSOPOULOS SUZANNA
Owner's Address: 20 KENNEDY LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 1
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-637
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Upgrade service from 100 amp to 200 amp.
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❑ 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: April 19, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: CHAD F GARVEY License Number: 21231
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BURLINGTON, MA, 018030763 BURLINGTON MA 018030763 Fee Paid: $50.00
Email: bfgarveyandsons@gmail.com Business Telephone: 781-983-5630
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 of Massachusetts Official _UsJe Onlnly/,,
Permit No.: _ 37
:-li-=6• Department of Fire Services Occupancy and Fee Checked:
.=;=e- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
"- 4 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: Li/ ( 71 a
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): 2 0 I�A.44 tly ( -c"-e— Unit No.:
Owner or Tenant: l ele lfe.-1,k S I Email:
Owner's Address: A-fr -e- Phone No.: (an n r 5( J -G02-3
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No Permit No.:
Purpose of Building: biiu Q 11 Utility Authorization No.:
Existing Service: /6C) Amps `07/2(Volts Overhead IJ Underground ❑ No. of Meters:
New Service: ZOO Amps I Q /z.LioVolts Overhead] Underground❑ No. of Meters: /
Description of Proposed Electrical Installation: c.-..sz 1.4. ....)q..1 X SQ e'vf y 7 r>0
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 1-IP: Total K •
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot-Tub r -
❑ No.of Self-Contained Detection/Alertin D vices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of De ice APR
�O�h
No.Air Conditioners: Total Tons: Telecom System 0 No.of Ou ets �it�i� 'F
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of De i — _
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipm nt. _ _ E T
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level I ❑ Level 2❑ Level 3 ❑ Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: ,?S-ac� (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon/completion.
FIRM NAME: � F -( � .4 �>A.S .., (__ A-1 or C-1 ❑ LIC. No.: I I
Master/Systems Licensee: C.-l\&� Co�r..-e-._.( LIC. No.: 4 3I a'3 }
Journeyman Licensee: �� c �3-c_c,1 LIC. No.: a- 3c13-3 3
Security System Business requires a Division of Occupational Licensure"S"LIC. 1 S-LIC.No.: e�,
Address: a ,' O\ ZSu
Email: CS Fa,C.I ale_, C..y .r�cc7C:U%,\S /'- A% I ,6e7"^—Telephone No.:
I certify,under the p ins nd penalties of perjury, that the i .or rati on ;s plication is true and complete.
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Licensee: C .
Print Name: ' '� Cell. No.: a 1. 3 563 D
INSURANCE COVERAGE: Unless w- ived 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. i � /
CHECK ONE: INSURANCE /r BOND ❑ OTHER❑ Specify: I'JI4V�i 7�- � /40 Y-
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.: