HomeMy WebLinkAboutBLDE-24-546 4/4/24,4:06 PM about:blank
Commonwealth of Massachusetts of • YA
* Town of YarmouthF
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al It I ° C
0 ELECTRICAL PERMIT
Job Address: 48 MILL LN Unit:
Owner Name: THE MILES-CAMPBELL FAMILY LTD PARTNERSHI
Owner's Address: 20 BEACON ST UNIT 5 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-546
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground El No. of Meters:
Description of Proposed Electrical Installation: 2nd floor bathroom
No.of Receptacle Outlets: 4 No.of Switches: 4 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 7 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 CINo.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 El Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 0 Work to Start: April 2, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL DONOVAN License Number: 15197
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST DENNIS, MA, 026702224 WEST DENNIS MA 026702224 Fee Paid: $75.00
Email: bassriverelectric@gmail.com Business Telephone: 508-776-0929
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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RECEIVED 12-eudu\ 10r Z0u1,-1
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1 APR I C a/„/ 1iae.tte Official Use Only
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L_ I B L ry c7 Permit No. /t It `-f'CP
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BUILDING'_, �! /I, Occupancy and Fee Checked
BY` -N,/F :lARD OF FIRE PREVENTION REGULATIONS [Rev.1/07]
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t./- 3-,ZC,,L<-/
City or Town of: Y4,I (At is t•-1 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) '1r (/1 .1 I I...An€ >' (i t c C.:t ?c) ---
Owner or Tenant V,t 1 (>-)''\e S l-1('�.—ke Cc:M Q be I l Telephone No.
Owner's Address y,I Yt1,
0) Is this permit in conjunction with a building permit? Yes [ No ❑ (Check Appropriate Box)
t_ Purpose of Building 13 c1 4, . e Pt\C t l Utility Authorization No. ty A
Existing Service C Amps \2 C/Z-C Volts Overhead❑ Undgrd❑ No.of Meters
•
New Service NfA Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty 7
Location and Nature of Proposed Electrical Work: .n c r tco r' 6-t L,
Completion of the followingtable may be waived by the Inspector of Wires.
No.of Recessed Luminaires 7 No.of Ce �•(Paddle)l.-Sa Paddle Fans No.of Total VA
Transformers KVA
tt No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above in- No.of Emergency Lighting
No.of Luminaires Swimming Pool trod. ❑ grad. ❑ Battery Units
No.of Receptacle Outlets el No.of Oil Burners FiRE ALARMS No.of Zones
F No.of Switches y No.of Gas Burners Na of Detection nd
initiating Devices
I U No.of Ranges No.of Air Cond. Tons, No.of Alerting Devices
No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipalonnedion 0 other
C
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW 'No.of No.of Data Wiring:
Heaters _ Signs Ballasts No.of Devices or Equivalent
s
No.Hydromassage Bathtubs No.of Motors Total HP Tel of Deo of Devic e ices o or Wiring:
No. Equivaieat
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: CO,:,-r (When required by municipal policy.)
Work to Start: '-/-1(-)C.L4./ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME:Olt:1,c,r,A--• ..en 0)34 13,:St "Zivtz c'tr LIC.NO.: IS/q74
Licensee:►t I I,lr ci, 1 `Dc,,e,:,-•v Signature 2s( ��- LiC.NO.:
(If applicable,enter"exempt"in the license number line.) \ Bus.Tel.No.. S;7,=77c n uy
Address: '3Ac1;t rune "7r;,;P Scqt^tL /, .iwtoJ-i-I, Alt.TeLNo.:
'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I son 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 son the(check one)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. l PERMIT FEE:5 "7S,C,0