HomeMy WebLinkAboutBLDE-23-15927 5/24/23,6:48 AM about:blank
- - --- Commonwealth of Massachusetts o Y
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Town of Yarmouth ,„04,
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ELECTRICAL PERMIT
Job Address: 345 HIGHBANK RD Unit:
Owner Name: BORDEAU JAMES C BORDEAU N E & MOLINA J
Owner's Address: 345 HIGHBANK RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15927
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Mete
Description of Proposed Electrical Installation: Kitchen, bath, & laundry remodel.
No.of Receptacle Outlets: No.of Switches: 25 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 14 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:
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No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
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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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: May 20, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JARLATH A GALVIN License Number: 10861
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Yarmouth Port, MA, 026752045 Yarmouth Port MA 026752045
Email:jargalvin@comcast.net Business Telephone: 508-488-7487
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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RECEIVED
MAY 23 2023 rOMV-1 nwealth of Massachusetts Official Use Only
_] Permit No.:
r'..1% ,q G DEPARTM ..rtment of Fire Services Occupancy and Fee Checked:
t - 4'-- - — -E PREVENTION REGULATIONS [Rev.l/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MECii,527 CMR 12.90
City or Town of: YARMOUTH Date:L\c 2,gp` 23
To the Inspector of Wires:By this application,the andd'ee�rr))sstgned gives ti`f s of h' or her i ention rm the electri ork described below.
Location(Street&Number): S. tt" vtt� �C11 f tl Unit No.:
Owner or Tenant: n e.., Em I:
Owner's Address: (S 4i tdv Cr, O%L(CC1,�,Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes�y No❑Permit No.:
Purpose of Building: WCtvl — Utility Authorization No.:
Existing Service: I.00 Amps 7-2cV 110 Volts Overhead EKUnderground 0 No.of Meters:
New Service: Amps / Volts1 Overheadve Undergro ❑ ( No.of Meters:
``
Description of Proposed Electrical Installation: C{ttc N+clJcy /1�4u alaif 1 eMtxtt9.
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Z� Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: i 4 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-Grad.❑ Above-Grad.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 ❑ 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❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wbes.
Estimated Value of Electrical Work: 'l DIND (When required by municipal policy)
Date Work to Start: Np2p( "LSQ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: "ft1 &M9i11 A-1❑or C-I❑LIC.No.:
Master/Systems Licensee: LIC.No.: (b B 61--
Journeyman Licensee: LIC.No.: 10 le 61--►3.
Security System Business,requir`ia Division of Occupational LicenstR 5"LIC. S-LIC�No.:
Address: �LtO 1\e tt - G ( ' 12t(i 4-\oa O1-6'13-S A 2
Email: Qt) &Iv/14 Q(AnLt.ctSl `rL TelephoneNo.:SOg E(,Sp i i(g�
I certljy,un/er ai andf npNBes of perjury,that the itnformation on this a pllcatign is true and complete. y
Licensee: Llil l�ativ1P Print Name: itO,Lt(11-( [N Cell.No.: SC) tt 9tit
INSURANCE OVERAGE:1�nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provid iability including"co leted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof o e to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 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.: