HomeMy WebLinkAboutBLDE-23-15905 Commonwealth of Massachusetts o� •. YA'•
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Town of Yarmouth ,.„ c.
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ELECTRICAL PERMIT
Job Address: 49 SHORE SIDE DR Unit:
Owner Name: KAROL DAWN
Owner's Address: 424 ADAMS ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15905
Existing Service Amps/Volts Overhead 0 Underground 0 N of Meters:
New Service Amps I Volts Overhead 0 Underground 0 o`,df eterS"
Description of Proposed Electrical Installation: replace meter socket&wire mini-split(508-2 7) g
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: --0. ..
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Windy 7q" o�
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KYA/ e Q
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.❑ 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 El 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 El Rating:
Estimated Value of Electrical Work: $ 0 Work to Start: May 22, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT J CARREIRO License Number: 19861
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: P.O. Box 1076 S YARMOUTH MA 026641976
Email: carreiro-electric@yahoo.com Business Telephone: 508-280-0537
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.of rr/addachadatid Official Use Only
V • -rt y c7 S Permit No. BL j)E -Z 3-)S5os
- 1�:. `', 1J parfmrnt of Jin Jirvicea
I i-�' 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
ll (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �7Z�2?
t3 City or Town of: YARMOUTH To the Iripecto(of Wires:
lk By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
k{t Location(Street&Number) ¢9 ",s $No fee"-`T et U c
•
Owner or Tenant •Acc.7.,J (/A,rxt,),/,_ Telephone No.
Owner's Address
. s Is this permit in conjunction with a building permit? Yes ❑ No fiZi (Check Appropriate Box)
Purpose of Building g'.D,R iZ yoL Utility Authorization No.
\I Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
' New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty ,c
f Location and Nature of Proposed Electrical Work: ��.,zir �L1cT r rSe,CKe7 56 /.t)/„ .-;"""
: Ab,{/i St%a'i'-'
• t Completion of the followinVgble may be waived by the Inspector of Wires.
otal
Ui No.of Recessed Luminaires No.of Ce6.-Snsp.(Paddle)Fans No. f T
rr^ Transformers KVA
't No.of Luminaire Outlets No.of Hot Tubs Generators KVA
n
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
crud. grid. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
•r No.of Switches No.of Gas Burners No.of Detection and
t Initiating Devices
11.. No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
Heat Pump Number.Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: --......_....-.._...._._......._._.. Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑Municipalne ctio other
Om
Con
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of Na.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
0 I No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wlrin
LL1` c"'., No.of Devices or Equivalent
LIILOR ___
Attach additioal detail if desired,or os required by the Inspector of Wires.
stimated Value of Electrical Work: (When required by municipal policy.)
ork to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
SURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
e licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
dersigned certifies that such cov a is in force,and has exhibited proof of same to the permoffice.it issuing
CK ONE: INSURANCE BOND 0 OTHER❑ (Specify:)
I certify,under the sins and penalties ool perjury,that the information on this application is true and complete.
FIRM NAME: Azov'i. l!,e,,Q%,• rL_usei, LIC.NO.: ,</9fi,/
Licensee:17o/.O,e,.--J ( teR - Signature y LIC.NO.:..e/q p.6/
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.'
Address: P-D. XSoX/O7 S'o. ,�.t,c,or/6 M✓d e�LG44- Alt.Tel.No.:4::/...Q--....2PO-Os'i r
°Per M.G.L.c.147,s.57-6I,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)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$