HomeMy WebLinkAboutBLDE-23-18887 6/13/23,6:57 AM about:blank
Commonwealth of Massachusetts o 1-•4
*4ip Town of Yarmouth si
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ELECTRICAL PERMIT
Job Address: 546 HIGGINS CROWELL RD Unit:
Owner Name: BENGER KEVIN TRS THE K2 REALTY TRUST
Owner's Address: 143 POND VIEW DR Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18887
Existing Service Amps/Volts Overhead❑ No.of Meters:
New Service Amps/Volts Overhea Underground 0 No. of Meters
Description of Proposed Electrical Installation: Upgrade li ting (Reliable Fence) ��j
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: �f f Type:
No. Luminaires: No.of Recessed Luminaires: ind Gen s: 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: 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 0 Level 2 0 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.net 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 Qn
Permit No.:L--.52_3 \ i)`67
t; 5t Department of Fire Services Occupancy and Fee Checked:
r{_ 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
r^`_.- 'h APPLICATION 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: k) Date: &✓9A 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): 54 Illy/0 Cj we/f Road Unit No.:
Owner or Tenant: €/,4./3I[ ie-e.. e 2A4. - Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No ZPermit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: i Amps / Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: /( ,41t40 GeD IyMn 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 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 0 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 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 ❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 6/9!.,3J' (When required by municipal policy)
Date Work to Start: 4 f7/. ,3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: b ah/(sEkehei&, A-1 att or C-1 ❑ LIC. No.: 004141
Master/Systems Licensee: 414 bide&5 LIC.No.: 404leA .4
Journeyman Licensee: au.! $ a/(5 LIC.No.: 311 4/1/ E
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address: A7 dYmk R4 £ £ afinib t-ei t met pig/73
Email: YXI11/b#tlairSC/LG ►e a)1p;zpn.4.1.1' Telephone No.: OF fet 90•10',1i 9/
I certi ,u e in and i hies operjury, Ceell 4'7'fr•733-'7A1'
fy p� �f that the information_ - aon this/application is true and complete. ��/
Licensee: %�'� Print Name: &UJ h /'15 Cell.No.: Q '' 9'��e
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 permit issuing office.
CHECK ONE: INSURANCE IZ BOND El OTHER❑ Specify:la fiX f a _Wr.�/q''iid
OWNER'S INSURANCE WAIVER: I am awarle that tl LLicc;tsg4/oes rat have the liability insurance coverage normally
required by law.By my,signature below,I hereby lie Eis`vequirelnit.'Lari th*: (Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.Rio.:
Signature: JUN O 2a23m4i1.:
B
BUILDING DEI'ANTMENT 1