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BLDE-23-15890
Commonwealth of Massachusetts og ,Y Town of Yarmouth $ ` �` w o'r .a y 'uELECTRICAL PERMIT Job Address: 90 SEAVIEW AVE UNIT 13M Unit: Owner Name: PHELPS DONNA CAROL PHELPS MARK CHARLES JR Owner's Address: 27 JUDY LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15890 Existing Service Amps 100/Volts Overhead M Underground❑ No.of Meters: New Service Amps 100/Volts Overhead IM Underground❑ N• : eters: Description of Proposed Electrical Installation: Upgrade service, grounding, &devices in kitch •fr 4294(› No.of Receptacle Outlets: No.of Switches: Generator KW Rating: ,diot 66‘;‘)/4..' / P 9 V - No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Win. iv -: 'y. No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Tot. *v : 4,0- Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total K 4‘)‹) 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: O 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: $ 6,000 Work to Start: May 23, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JASON D MIENSCOW License Number: 12025 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: cumberland, ri, 02864 cumberland ri 02864 Email: inspections©cottijohnson.com Business Telephone: 774-501-3041 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: �' Commonwealth o/1' assachasetts Official Use• Only r C r _' W+—rat c� Permit -l3 ( c n l 0 '�I_ Jlepartment o/.ire�eruices 1= Occupancy and Fee Checked ', � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 5/16/23 v City or Town of: South Yarmouth 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) 90 Seaview Avenue#13 vl Owner or Tenant Donna Phelps Telephone No. 413-335-2940 .� Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Residental Utility Authorization No. 13042940 '''k Existing Service tCO Amps \(; / 2,40 Volts Overhead Er Undgrd n No.of Meters t New Service k OO Amps \al) /at\0 Volts Overhead Er Undgrd ❑ No.of Meters I V Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace 100 amp panel, install new grounding, install whole home surge, install new outlets in kitchen area, install lighting in kitchen area Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total v Transformers KVA \ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.ot Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6,000 (When required by municipal policy.) Work to Start: 5/23/23 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Cotti Johnson LIC.NO.:22630-A Licensee: Jason Mienscow Signature /��� LIC.NO.: 12025-B (If applicable,enter "exempt"in the license number line.) / Bus.Tel.No.:774-501-3041 Address: 30 Waverly Street,Taunton,MA.02780 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 60,00