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Home My WebLink AboutBLDE-23-19859 11/17/23,6:35 AM 04 about:blank ik!. Commonwealth of Massachusetts =�oc • Y-4 , o, *Ur '/( �' Town of Yarmouth �,� , , c. ELECTRICAL PERMIT ....: : . Job Address: 55 NORTH RD Unit: Owner Name: CONTI NICHOLAS J II BLINN ALLYSON L Owner's Address: 55 NORTH RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19859 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Remodel garage area. No.of Receptacle Outlets: 15 No.of Switches: 7 Generator KW Rating: Type: No. Luminaires: 7 No.of Recessed Luminaires: 11 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 LS No. of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 2 No. Oil Burners: No. Gas Burners: Video System ❑ No. of Devices: No.Air Conditioners: 2 Total Tons: 3 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: $ 3,000 Work to Start: November 7, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: License Number: Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Fee Paid: $250.00 Email: Business Telephone: 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: `---01/4.s . cq 24 (7,3 ie-6.- ( KC')Crir- `-ac WUC4 L - 2—cd- S &ekt,te_s?ttc&, € Swtre4 l.07uw 4.1 R Mee ZiP-c c Z. 1 t 4\f - CL5iiii (4 �2�4,4^ . (:,7 ) -1(44 14_,, 4 oL L c )) cNM1 /6/ al g: about:blank 1/1 RECEIVED 1�_ ��// Official use Only "al o/Mae6achu6�fle �. - V 08 202co _C, ,a`: ,, ��]] nn Permit No, (:�2� tq s 1 •?C.v. ` AE oil. iri Jervice6 ' • �_ ING DEPARTMENT Occupancy and Fcc Chcckcd " ' E1[_ZARR-C!F SIRE REVENTION REGULATIONS [Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I l/(a / Zo 7 3 City or Town of: YA..,r vtiw -. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 6—.S.- — o c- & w_a L3 Q-S''C L? a-rp.. . tit, A 07-(l 3 Owner or Tenant %C\e\o\S Ca I,tj A A( ( So�°-'- oV tk v\ Telephone No. 130 Z - S Z.L- Ye 3 7 1 Owner's Address S S 1V o r- 2 cQ LA) eS Y ar-wt41 kA• l tr ` 4- 01—0O3 Is this permit in conjunction with a uiiding permit? Yes C No ❑ (Check Appropriate Box) Purpose of Building ►to\s/ l,-.. Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service [ou Amps - / Volts Overhead l 1 Undgrd ❑ No. of Meters i, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 60,-cew-Ae /Y'kx leA V1 Completion of the followin table may be waived by the lnsoector of Wires. `'' o. of Total li) No. of Recessed Luminaires Go No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets -g No. of Hot Tubs Generators KVA - -- No. of Luminaires SwimmingPool Above ❑ In- ❑ No. of Emergency Lighting �� grnd. grnd. Battery Units `! No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones r No. of Detection and oz No. of Switches �b No. of Gas Burners Initiating Devices 1`- ' No. of Ranges No. of Air Cond. TCabTons No. of Alerting Devices r: Heat PumpNum?. ons No. of Self-Contained No. of Waste Disposers Totals: ,Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ri❑ Con Connection l ❑ Other No. of DryersHeating Appliances KW Security Systems:* No. of Devices or Equivalent , No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or ,nlvalent No. H dromassa a Bathtubs No. of Motors Total HP Telecommunications W gg• y g No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 0 a O (When required by municipal policy.) Work to Start: I 1/7/7=z. 2.3 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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. CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: /L)CP't' ; 17eol n1C4i' I- C.Viri LIC. NO.: L-i : Signature a4 -, /1Jt/' --HC.NO.: (If applicable, enter "exempt"in the license number line.) Bus. Tel. No.: Address: Alt. TeL No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 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) [3 owner ❑] owner's agent._ Owner/Agent PERMIT FEE: $ Signature Telephone No. ,r, I(0 A -1:1 0 It O --) 1._....._ I ,f I 0 C) VJ O 0 / 0 --, dL `� a ‘t f,, cn 0 Th p0 e • d _.., It 'It m , 1 \. c) a,— c.) (._) ClJ