HomeMy WebLinkAboutBLDE-23-15842 i
Commonwealth of Massachusetts ov YA.4?'e�
A Town of Yarmouth z `
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ELECTRICAL PERMIT - , ,,,
Job Address: 143 ROUTE 6A Unit:
Owner Name: ELD " E, p�" N �A-u t 1)
Owner's Address: -Pe-BGX- 3 . Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15842
Existing Service Amps 100/Volts Overhead 0 Underground El No.of Meters:
New Service Amps 200/Volts Overhead IS Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Upgrade service&wiring for two (2) heat pumps.
No.of Receptacle Outlets: 2 No.of Switches: 2 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: 2 Total KW: Total Tons: 2 Fire Alarm System El No.of Devices:
Swimming Pool: In-Grnd.El 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 El No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount El Ground-Mount❑ Level 1 El Level 2❑ Level 3 El Rating:
Estimated Value of Electrical Work: $6,000 Work to Start: May 5, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ANDREW GERALD
THOMAS License Number: 22152
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CHATHAM, MA, 026331145 CHATHAM MA 026331145
Email: thomaselectriccapecod@gmail.com Business Telephone:
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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Official Use Only
Commonwealth of Massachusetts Permit No.: �Z3— l-D o "{Z-'4
)i_ Department of Fire Services Occupancy and Fee Checked:
`t BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/2023]
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' . r 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: `4r M OVM Date: (t'l 5) a o d 3
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): 1 A ovt c- (o A Unit No.:
Owner or Tenant:Sitf ll<t) IO 00,► a Email:
Owner's Address: 1t-l3 ({butt_ (p 4 Phone No.: ,,iiiia e
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Pe it No.. f0 ' �' `.o r
Purpose of Building: Utility Authorizatio 1 No.: a , 54 viva
Existing Service: lvo Amps I ao / a 40 Volts Overhead.171 Underground❑ No.of Meters:
1 New Service: ),0 t> Amps I ko / ago Volts Overhead El Underground❑ No.o iv e ers:
Description of Proposed Electrical Installation: 1 f ra et. Lilt 0.4c et,( 5 t t lrtc.. a L- f A 1
(4/:t,4. A - l}c c7 NM PS
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: X 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: Healing 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-Grad.0 Above-Grad.❑ 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 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 0 Ground-Mount❑ Level 1 0 Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (I bob (When required by municipal policy)
Date Work to Start:Mk) c?ba' Ins ectiqns to be requested in accordance with MEC Rule 10.and upon completion.
FIRM NAME: illol`A-C 61tt-'t ' l St(VieiC L'lC A-1 [ 'orC-1 ❑LIC.No.: a15"d A
Master/Systems Licensee: An Z rtii., I'to A 4 LIC.No.: / I 5-.1.ne4
rW I Ltv h`S LIC.No.: Ole $ -. o
Journeyman Licensee: w3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 7 LI'o totn t G2*ilk,wt. /t,cr Oai 411
Email: 1-1-11Th c%f ek C"C Ca et,. Cu & 9 h w. 1 .L v"t Telephone No.: Co i 7 -g) s- - 3 7 q 3
-
I certify,under the pains and penalties of perjury,that the information on this application is true and co plete
Licensee: f�l/— Pratt Name: Al.art-L.- T &t`, 's- Cell.No.: 10 1 7-$3'l- 3 7`Y3
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 IZS BONI)0 OTHER❑ Specify: I"s L. 1...1)
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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