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BLDE-24-939
6/13/24,7:14 AM about:blank A IAt1(6 Commonwealth of Massachusetts /63' YA4, \ IF *r g Town of Yarmouth �,� 04 ti ELECTRICAL PERMIT .. M"�RATE0 .% 4 .--..ORAT ED�-- Job Address: 95 WILFIN RD Unit: Owner Name: BARRY JOHN Owner's Address: 95 WILFIN RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-939 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Final inspection to close out expired permit. (E23-4733) 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: $ 1 Work to Start: June 13, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: LUCAS GOFF License Number: 10820 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Grafton, VT, 051469708 Grafton VT 051469708 Fee Paid: $50.00 Email: Iuke082773@yahoo.com Business Telephone: 203-948-4556 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: 6-“, CI- Ca(( El(2J4 r-f______/ 1/1 about:blank Comntonwaa[Ih o1 MaddacRudalid Official Use Only ''' Permit No. E �J`�— q o cc'� cc--�� �{�i ;t1 .�LJe�atmeni o�a`ira Jeruice3 Occupancy and Fee Checked 4- ";e,' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,. All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CAR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH 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) 95 WILFIN RD Owner or Tenant BARRY, JOHN Telephone No. 203-948-4556 m i Owner's Address BARRY, MARY P. 95 WILFIN RD, SOUTH YARMOUTH, MA 203-948-3535 __..1 Is this permit in conjunction with a building permit? Yes © No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd _ No.of Meters • N New Service Amps / Volts Overhead E 7 Undgrd> No.of Meters , Number of Feeders and Ampacity (Re/C/LiJ �er/)t./ ' 6 L/)E` �-3 Do 4733 Location and Nature of Proposed Electrical Work: model livi�ig room, kitchen, bedroom & laundry THIS REPLACES BLD PERMIT NO BLD-23-000184 which was inspected 3/2/23 for rough electrical !''a Completion of the followingjable may be waived by the Inspector of Wires. a� al No.of Recessed Luminaires 6 No.of Ceil.-Susp.(Paddle)Fans No.of7 VA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA , Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ' = No.of Receptacle Outlets 26 No.of Oil Burners FIRE ALARMS No.of Zones '.'' No.of Switches 14 No.of Gas Burners No.of Detection and Initiating Devices Tota t"<` No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number 'Tons KW 'No.of Self-Contained 5 P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of D ers Heating Appliances KW Security Systems:* j rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent No.H ydromassa a Bathtubs No.of Motors Total HP Teleco of Dev pin ngg. 3 g No.of Devi:eRrtCSal i V E OTHER: __.1 Attach additional detail if desired,or as requited tly thellnpyr�ctpr21 . Estimated Value of Electrical Work: (When required by municipal policy.) ,Jl��JJ�� jj L Work to Start: Inspections to be requested in accordance with MEC Rule 10,andupogcompletion. _ INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrik1VoilalWiiiiidift&W E NT the licensee provides proof of liability insurance including"completed operation"coverage or its subit4Mial eg,iiiv lent--3u------ 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lucas Goff LIC NO.: 10820 Licensee: Lucas Goff Signature /") .v 4/1LIC.NO.: (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 MARION AVE., MILLBURY, MA 015274213 Alt.Tel.No.: *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 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 a€ nt. Owner/Agent PERMIT FEE: $ 50.00 Signature Telephone No. Rough 3/2/23 KE _ (eee C0 pq of 1!l else .