HomeMy WebLinkAboutBLDE-23-19538 9/22/23,8:50 AM about:blank
Commonwealth of Massachusetts o : Y
* i Town of Yarmouth ��
C`
ELECTRICAL PERMIT '-
Job Address: 14 COVEY DR Unit:
Owner Name: GUINEY DAVID GUINEY LAUREN
Owner's Address: 14 COVEY DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19538
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Porch room receptacles, fan, &recessed lights in bedrooms, kitchen, and back
room.
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: 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❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: September 22, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL J CHASE License Number: 20654
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SOUTH DENNIS, MA, 026602903 SOUTH DENNIS MA 026602903 Fee Paid: $100.00
Email: chaseelectricco@yahoo.com Business Telephone: 508-245-3890
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:
RUB 1(1,7( 3
R 7( / 1
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Conmonwea[fk e/Maddiata1d14 Official Use Only
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r c7 c� n Permit No. (3- ( `g 3 v
,•j • 2eparfmini of 3ire Serviced
Occupancy and Fee Checked
' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
iAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code( C),527 R 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMAT iON) Date: q � --/ 3
q City or Town of: y iq. -- D To the Ins ector o ires:
(((('�y". By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
N Location(Street&Number) li0✓� 1.�iz. � ��^a u
Owner or Tenant L g l.) Gs Telephone No. 8
✓ Owner's Address f 4, br21 tl-e - V 01e>t'r`? Pam) Mot 427(r
Is this permit in conjunction with a permit? Yes ❑ No.— (Check Appropriate Box)
tQ Purpose of Building ys02-er,4--t-ei-L_ Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
L1 New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
.. Number of Feeders and Ampacity .�
1 Location and Nature of Proposed Electrical Work:t l '- (U( 1Z V.'r �(ys -1-,z'aUJ '1-
Add less (i)- j� f --1'6).1e is + furor„-- 4 /7-40(..,.
Completion of the foU° fable on5t be waived by the Inspector of Wires.
tU No.of Recessed Luminaires No.of Cell.-Sm (Paddle)Fans Transformers Total
P• Transformers KVA
Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
t No.of Luminaires Swimming Pool erne. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of OU Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
F Initiating Devices
11.1 No.of Ranges No.of Air Cond. Tuna No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Po Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑Moon h'on ❑Omer
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
dromasa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H y ag No.of Devices or Equivalent
fl OTHF,R:
z
uJf � w '. Attach additional detail if desired,or as required by the Inspector of Wires.
1 tee Value of Electrical Work: (When required by municipal policy.)
>l Rib V.i to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
10 C1l li to RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
I2-1' 'cs'2* ie censee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
(..) _ igned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
LU�{ ` K ONE: INSURANCE Ef-BOND ❑ OTHER 0 (Specify:)
IX J 1� f,under the pains and penalties of pedsuy,that the Information on this application is true and complete.
NAME: Ci?AS E F LTItr-(` Cam✓. -" G LIC.NO.: I 3 M I
Licensee: � 'W �I ainSE Signature a� V/,,`— LIC.NO.:,c N ip.-Y/4
(Ifappl cabkigstIr crempt"in the license number time.i L., f -/Bus.Tel.No.. 3' GI(
Address: 1"`U- ( >- I(et 1 S. . h�MT /M/f 4 4O-JIQ/ Alt.TeL No.: 3'1f M O
*Per M.G.L.c.147,s.57-61,security work requires Department 6f Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: 1 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.
Owner/Agent PERMIT FEE:S
S torre Telephone No.