HomeMy WebLinkAboutBLDE-23-15876- Commonwealth of Massachusetts og YAK.
*v'; Town of Yarmouth, W w e
/ y
ELECTRICAL PERMIT �``
Job Address: S(S i ---La ( '(l2. _Unit:
Owner Name:
Owner's Address: Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15876
Existing Service Amps/Volts Overhead ❑ Underground❑ No.of.Meters:
New Service Amps/Volts Overhead derground❑ No. f. dt ters:,
Description of Proposed Electrical Installation: in II 24 KW generator 508-280-2502)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: 24 T ' .. " 0•
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind Kir
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: 4NN>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:
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: $ 2,000 Work to Start: May 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RUY . COELHO License Number: 56863
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Hyannis Hyannis MA 026012146
Email: coelho ruyro@me.com Business Telephone: 508-280-2502
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:
c * C6 11 i r t14 . (6114/0•113 got_ s eb)
RECEIVED
1�_ `dAY 17 2023
'�a.a �{laa�a<l�.t� Official Use Only
:B.-'ut 7.4.. .1/3iro s.nic a Permit No..�jL f�Y_ - ZJ� g�'('
,y:y;;I;ING DEPARTM
'• 'I i, ' - - Occupancy
U \l AR PREVENTION REGULATIONS ev.1/07J and )kid
•
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massoehu,em Ele..aiwl Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMA770N1 Date: O / - 3
14 :2\ City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersi:nezed,:ilnolieesa,his or her intention to perform the electrical work described below.
C Location(Street&Number) 67 f57"QQi'-5 C r/-CL 0
OwnerorTenantU, [ �t/� Telephone No..�io
j )i Owner's Address S/ G C n r�L rt�toh /C/Yet,h.S 4 -r7.2 4 n/ ��"8525
Is this permit in conjunction withal ' VYes D No ® (Check Appropriate Box)
6l Purpose of Building �i r 5/ (H C/ Malty
Ut®ty Aathoriativa No
Ai
Existing Service 2,30 Amps /do/2dedval a Overhead❑ Uadgrd 3,, No.of Meters /
New Service Amps / Yaks Overhead❑ Uadgrd❑ No.of Meters
t Number of Feeders and Ampadty
J i Location and Nature of Proposed Electrical Work:
W 6e�e or �Lec7r/7co_L �,- Z4'� 1
t nit Completion ofthe folowing fable may be waived by the Inspector of Wires.
tI No.of Recessed Luminaires No.of Ce7.-Svsp.(Paddle)Fans No.of Total
Transformers KVA
Q. No.of Lumivake Outlets No.of Hot Tubs Generators KVA
d- No.of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting
prod. grad. Battery Units
. ".•,,! No.of Receptacle Outlets No.of Oil Burners
FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
it r No.of Ranges No.of Air Cond. Total
No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number Tons -KW__No.of Self-Contained
Totals: - Detection/Alerting Devices
i J No.of Dishwashers Space/Area Heating KW t.,aH❑Muninpal
Connection 0 Other
No.of Dryers Heating Appliances KW lecurity Systems:.
No.of Water No.of No.of Devices or Equivalent
Heaters No.of
KW Ballasts Data of
/v Signs No.otDevitxs or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent
t(f�r� OTHER: -
Z) Attach additional detail ifdesired or as required by the Inspector of Wires.
N Estimated Value of Electrical Work: )'G2gZ c' (When required by municipal policy.)
• Work to Start 0 5`/7 Z3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
Q6 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.
Is\ CHECK ONE: INSURANCE❑ BOND❑ OTHER 0(Specify.)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: ITC.NO.:
Licensee: g(/r Cor&Z Le L/ Signature.e�/ Lie.NO.:SG,G 3-B
(lf PPt cable, t m the hemp member line.) Bus.TeL No.j us4 2 0 v 2 S a 2
Address: /. /Vo,-..�y5 7 /Cj/'C,.._.7"S Alt.TeL No.:
'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
Own requi erred
b law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 own s agent
Signature Telephone No. I PERMIT FEE:$ Al