HomeMy WebLinkAboutBLDE-24-522 4/2/24,6:24 AM ��� about:blank
Commonwealth of Massachusetts :di' • Ya"`
* Town of Yarmouth o`.
ELECTRICAL PERMIT A y, •
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.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-522
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: llifshoiss. (Th
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 0 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: $ 500 Work to Start: April 2, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL R LANGONE License Number: 32168
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BURLINGTON, MA, 018032228 BURLINGTON MA 018032228 Fee Paid: $75.00
Email: sroussopoulos@yahoo.com Business Telephone: 781-640-7384
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 o ,al�s�On►t.,,Z,�
Permit No.: (C//v�`'((
"g jivi= t Department of Fire Services Occupancy and Fee Checked:
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►f 1' BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/2023J
"•- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be per 'armed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: ; YARMOUTH_ Date: //,2 G(
To the Inspector of Wires:By this a tE r placation,the undersigned gives notices of his or her intention to perform the ele ical work described below.
Location(Street&Number): f� iv e_ r 4a tr c Unit No.:
Owner or Tenant: -D-t l 2.A,ypi 04-- 6 774.4<co pout(os' Email:h e A/,ej e.) it N 14Aare ef_er,
Owner's Address: go !k e N,a e.d t( it• Phone No.: ?g( f O '3 g
Is this permit in conjunction with a building permit?(Check appropriate box)Yes Z No ❑ Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: j
New Service: Amps / /; Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: ek),st1//Y /6(1 — ?" t o Seri't ce_.
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Typi: R E C E 1 V F
No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rat' g: """""`"'-
No.Appliances: KW: No. Water Heaters: KW: No.Transformers: Total K A: , 1 • i
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total 121 r
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: BU LUINC DEPARTMENT
Swimming Pool: In-Grnd.❑ Above-Grnd. 0 Hot-Tub 0 No.of Self-Contained Detection/Alertin: Dtzv_ices: _
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: --��—
No.Air Conditioners: Total Tons: Telecom System 0 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❑ Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 4500 (When required by municipal policy)
Date Work to Start: 312.'1 2.4 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: A-I ❑ or C-1 ❑ LIC.No.:
Master/Systems Licensee: LIC.No.:_
Journeyman Licensee: f C de-1 I-aV C1RL- LIC. No.: 32.1 (,B E
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email: _ Telephone No.:
I certify,under the pains and penalties of perjury, that the information on this application is true and complete.
Is taeeJrr� /Jti1� I�fQQp�'1C�O3� Print Name: St,ZgnnA. Roassdpoiu1O.S Cell. No.:'7g1 /O-i38*
INSUR NC COVE AGE: nless 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 ❑ BOND ❑ 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 Er Owner's agent❑
Owner/Age : Sow:WOIO ROOS.S( 0U to S Tel.No.: lbt -(J40-13814
Signature: .r24140ovpox Email.: St'O05S094)10S@'jahOO.corn
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\l/\ ‘ROUSSOPOULOS RESIDENCE: IBREEZEWAY-TO-t fUDROOM ELECTRIC PLAN
20 KENNEDY LANE ORIGINAL: 3/S/2024 JPN
WEST YARMOUTH, MA 02613 REVISED: 3/25/2025 JPN
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Elliott, Ken
From: GARVEY,CHAD < + 17819835630>
Sent: Wednesday, May 15, 2024 8:25 AM
To: Elliott, Ken
Subject: Voice Mail (35 seconds)
Attachments: audio.mp3
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unless you are sure this email is from a known sender and you know the content is safe. Call the
sender to verify if unsure. Otherwise delete this email.
Good morning, Ken. My name is Chad Garvey. We did the service over at 20 Kennedy Lane. I know we have to just
move it to be higher than the drop. The owner is in the process of selling and every time we've scheduled it, it's
been going to ring. So we're going to be down Monday or Tuesday. I'll come right into the office, pay a reinspection
fee and give you the service request number. So I'll see you Monday or Tuesday and you can inspect it anytime after.
That should be all set. Thank you. Number 781 -983-5630.
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