HomeMy WebLinkAboutBLDE-23-18881 6/13/23,6:24 AM about:blank
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Commonwealth of Massachusetts og•YAK
* Town of Yarmouth 10`
ELECTRICAL PERMIT
Job Address: 833 ROUTE 28 Unit: _
Owner Name: REIDA DANIEL J
Owner's Address: 833 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18881
Existing Service Amps/Volts Overhead ❑ Underground❑ L/ No.of Meters
New Service Amps/Volts Overhead ❑ Underground 0 .:No.of Meterd4
Description of Proposed Electrical Installation: Upgrade lighting :/14
44
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: p
.atizp Ve
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: D
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: ln-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 7, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAUL R BATALLAS License Number: 20262
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Westminster, MA, 014731212 Westminster MA 014731212 Fee Paid: $80.00
Email: raulbatallaselectric@verizon.com Business Telephone: 978-400-5291
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 Official Use O ly
t► =- r Permit No.: Lfj 8
lilt t Department of Fire Services Occupancy and Fee Checked:
__I_ 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
'''`'= 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Alt work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: ! &.55 fTr l*€A.. Date: 6/7/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): 933 Main Stud Unit No.:
Owner or Tenant: 013455 R/IkeK H Lt th &'t.L Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No [Permit No.:
Purpose of Building: : Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: =�!15./ / ✓t2u ) GLQ (,ilL ik D_
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❑ No.of Devices:
Swimming Pool:in-Grnd.❑ Above-Grnd.0 Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No. Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: r 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 0 Ground-Mount❑ Level 1 ❑ 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: o?t 73y.t; (When required by municipal policy)
Date Work to Start: t/'/? Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: ,8ahtl4SEle eheie, 14-• A-1 or C-1 LIC. No.: 0 1
� ❑ 41
Master/Systems Licensee: t1l411 6 etirdk,S LIC.No.: 4044,4 /f
Journeyman Licensee: ' 644 Br t}1L//4 5 LIC.No.: 3 it`itYY E.
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address: V' (iet. Rol _a1 j1€5flr!%Y?5 , )fit* OM
Email: r'all,lb#.fr I/a$G/GGht i a a)V r ppi•Flied- Telephone No.: I Met q7f•10 ftq/
I certi u e in and ties oC'Uf 9'Tn•qe •'T.f ri`/
ry p p f perjury,that the information_ _ aon this//application is true and complete.
Licensee: Print Name: &Zi4/ ,84141 5 Cell.No.: Ql•1r33•'7,T
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 permi issa
CHECK ONE: INSURANCE a_ BOND ElOT 1�E I V S cI ': ,/?folx r ZlediRtii tilagl9f/,l¢
OWNER'S INSURANCE WAIVER: I am aware at fiie L.icetisee does�r of kave the liability insurance coverage normally
required bylaw.Bym si 'q my:signature gnature below,I hereby w e����i�'��I a�die:(Check one)Owner❑ Owner's agent❑
Owner/Agent: I irell No.:
Signature: ! BUILDING DEPARTMENEi1 :