The URL can be used to link to this page

Home My WebLink AboutBLDE-24-1030 7/3/24,2:04 PM about:blank - Commonwealth of Massachusetts o A� \ * Town of Yarmouth s� ,�, °�; � 11 t i ELECTRICAL PERMIT /�c2°RaRAED''''Y Job Address: 16 GREYHAMPTON RD Unit: Owner Name: MORAN WILLIAM J Owner's Address: 16 GREYHAMPTON RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-1030 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Permit to close out expired permit(E17-3733) 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: July 3, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA 026733818 Fee Paid: $50.00 Email: pinchcalllynch@icloud.com Business Telephone: 774-208-8338 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: Ck p -1/qvi Kx-- about:blank 1/1 �/R ( MfirC1104 d c4 7 7 RE-CEIVED Wit( ce ,,, , .„, 4 Ju _c 4_ Commonwealth of Massachusetts Offi 'al Us Of�ly Permit No.: CG24{--AtiJ t� + t Department of Fire Services Occupancy and Fee Checked: 14.1 _ �' ' RD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] BY ="y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL RK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 A00 City or Town of: YAR M O UTH__ • Date: To the Inspector of Wires: By thig a>plic on,the undcrs g ed gives n t' es of his or her intention to perform the electrica work escribed hclow. Location(Street&Numbe{-)• l/ 1 B Unit No.: Owner or Tenant: ////•/l 4# O,'04 Email: Owner's Address: Q Phone No.: Is this permit in conjunction ith a b P ing permit?(Check appropriate box) Yes No ❑ Permit No.: Purpose of Building: i r 4q Utility Authorization No.: Existing Service: Amps J / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / V It Overhead❑ Undergr ❑ No. of eters: Descriptio ggf Propose Electrical Inst Nation: ceq /! 7,/,7 4,4 © f I7P/ e4O( ' /d/f eq © Completion of the following table may be waived by the Inspect of Wires. 9( a No.of Receptable Outlets: No.of Switches: Generator KW Rating: f 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. El Above-Grnd.❑ Hot-Tub 0 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 ❑ 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 ❑ Level 2 0 Level 3 ❑ Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E tr ca Work: (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: A-1 ❑ or C-1 ❑ LIC. No.: Master/Systems Licensee: LIC.No.: _ Journeyman Licensee: gitfr--q/r1 1,- C' 4' LIC.No.: 3 5-6t:27 'j Security System Business re.. ires a Divisi'n of Occupational Licensure"S"L C. S-LIC.No.: Address:/'/,76 V• l o / © Al ' ' / / d/C�- i �7 Email: 01 1 (/nC #/ OW✓O CO _ TelephoneNo.:7/ c4_/J AW g I certify,un e pain ,�j'pit alties o erjury,that the i o /nation of thi applicati t is true and complete. • Licensee: �0 Print Name: ‘i,� �j 7 "(/e e Cell.No.:7 F • � INSURANCE COVERAG . Un ss waived by the owner,n permit for the perform ce of electrical work may issue unless tle�see provides proof of liability including" ompleted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof fame to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify: OWNER'S INSURANCE W IVER: 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 El Owner/Agent: Tel. No.: Signature: Email.: