HomeMy WebLinkAboutBLDE-24-995 6/25/24,4:40 PM / about:blank
l Commonwealth of Massachusetts
*- Town of Yarmouth
ELECTRICAL PERMIT /4,co„-poRA,o,
b�9
Job Address: 34 LYNDALE RD Unit:
Owner Name: BRUNDAGE FREDERICK J
Owner's Address: 66 OXFORD ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-995
Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Permit to close out expired permit#E23-2167 (Final Inspection)
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 0 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 25, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL E PRAINO License Number: 27321
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W BRIDGEWATER, MA, 023791822 W BRIDGEWATER MA
023791822 Fee Paid: $50.00
Email: michaelpraino@comcast.net Business Telephone: 508-559-4788
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
Go.(4_c_ ( (2-1-(
about:blank 1/1
L t `-)Q
IR.ECEIV_ED
--� 024 ommonwealth of Massachusetts ' use S
Permit No.:
11 Department of Fire Services Occupancy and Fee Checked:
B iCr a //1 i$OAR OF FIRE PREVENTION REGULATIONS [Rev.I/20231
(CATION 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: ‘.: five. ,2,j/ 7v?,?
To the Inspector of Wires:By this appli°tion,the undersigned gives"ems of his or her intention to perform the electrical work descfbed below.
Location(Street&Number): 3 ////_ 4/Q/tj/rO ( Unit No.:
Owner or Tenant: Email:
Owner's Address: 34/ /y4LQ,¢/g ,f I) Phone No.:
Is this permit in conjunction with a buifddiing permit?(Check appropriate box)Yes 0 No 0 Permit No.:
Purpose of Building: Utility Authorization No.: -- _
Existing Service: c7.(,Q Amps,/JO/2 4C-Volts Overhead E r Underground❑ No.of Meters: /
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
., Description of Proposed Electrical Installation: (OJ,l,rc ,OA' / ri/( ///'P -fg/96 A vf/Fe
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 HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 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 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❑ Level I 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: (When required by municipal policy)
Date Work to Start:,3-0e Z)".. a Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: //i r r ii f /?g,-/A-, A-1❑or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: a7$'2/ 61 LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: /R7 G(t'I/f OTC' J7- 4j1IT /5/1// ehzig? /t )47/v /Z 3 7 9
Email: Mitha.e I r rQ t(1 t? c.) (UM rA-11, /7(r Telephone No.:
I certify,under the p ins aplrl penalties of perjury,that the information on this application is true and complete.
Licensee: /lij�� Print Name:�j r4fr(�1</f j LG Cell.No.: J-- S� y?lOi�
INSURA CE CO ERAGE:Unless waived by the owner,no permit for a/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 s o the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER 0 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: