HomeMy WebLinkAboutBLDE-23-15995 6/6/23,6:33 AM about:blank
Commonwealth of Massachusetts oY •
* , 1 Town of Yarmouth '3
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ELECTRICAL PERMIT �` ' '� ">
Job Address: 6 % c g& ji4 �` L Unit:
Owner Name: t� I l , f
Owner's Address: N C� Lt i Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15995
Existing Service Amps/Volts Overhead ❑ Underground❑ `,:No.of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No.of Meters'
Description of Proposed Electrical Installation: Hot tub, outdoor kitchen, &fire pit. `.�> J
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No.of Receptacle Outlets: 5 No.of Switches: Generator KW Rating: . Type: ' � r
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.0 Hot Tub SI 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: $ 3,200 Work to Start: June 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: BRYANT K DUNDON License Number: 53109
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MASHPEE, MA, 026493458 MASHPEE MA 026493458 Fee Paid: $100.00
Email: dundonelectric@gmail.com Business Telephone: 774-994-1092
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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a nwealth of Massachusetts Official Use oF I
Permit No.: .i23 l I f S
0 2 2023 e e artment of Fire Services Occupancy and Fee Checked:
{• ' =OARD O F RE PREVENTION REGULATIONS [Rev.1/2023]
a'NG AI rj N: ION FOR PERMIT TO PERFORM ELECTRICAL WORK
H" 'or to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: YARMOUTH Date:
To the Inspector of Wires:By this applicatio,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): cc- C,' Unit No.:
Owner or Tenant: Q fic.rt Email: ' a /qce me,G .Low
Owner's Address: 6-75 (,,/,.,7 S /,_ ��re Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes El No?I.Permit No.:
Purpose of Building: ,S,rrivF-mil Utility Author(zation No.:
Existing Service: 7cr. Amps /Zo /'- El Overhead Underground No.of Meters: (
New Service: Amps /_Volts Overhead I: Underground 0 No.of Meters:. Description of Proposed Electrical Installation: the., HIV-jtu Lj, Qc!/-ct>c I irk 4 it l etir Cl/
ntil-cJor.1 //c 6y /art P f.
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: ,S 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-Gmd.0 Above-Gmd.❑ Hot-Tub�yq� 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 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 0 Level I❑ 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: Z.00. �‘,.) (When required by municipal policy)
Date Work to Start: Zi Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A3 y-c,,-i f 42_o61aft e Jr.f/-C.i( A-1❑or C-1❑LIC.No.:
Master/Systems Licensee: ..l ` / (� LIC.No.:
Journeyman Licensee: . (pe oryo,,,-IL //v.,cJ('-7 LIC.No.: . f0 61
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 6'7 7,-:✓, -n Q% �yS -C_ ,44 C Z<y
Email: Telephone No.: 9 7-/ 77 V l cs
I certi,under the pains and penalties of perjury,that the information on thissr jplcatlon is true and complete.
Licensee: e1 y,...t f 4rin dC Print Name: 4 !3/� `7` Q/vim a/c�I Cell.No.: 77. yQ y
INSURANCE COVERAGE:Unless waived by the owner,no pertfiit 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 BOND❑ OTHER❑ Specify:
OWNER'S INSURANCE Wm,� VER:I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By my signs a below,I hereby waive this requirement.I ant the:(Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.: