HomeMy WebLinkAboutBLDE-23-15861 - � � Commonwealth of Massachusetts ov Y44 .
*, A Town of Yarmouth ; �„
f
MI 0 ' y:
t ELECTRICAL PERMIT A i
Job Address: 59 STRATFORD LN Unit:
Owner Name: JASON SCOTT M OCLAIR JEANMARIE
Owner's Address: 59 STRATFORD LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15861
Existing Service Amps/Volts Overhead ❑ Underground❑ No.of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Install two rods&bond block
4:2)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: < e: 4,,,,,..,/
'`
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Whd K1N ftatin4: ? _( a
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: 1101 d<yA!,
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Totat'K
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices: `v/ Q <9?
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:
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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: $ 1 Work to Start: May 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ERIC W DREW License Number: 13118
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026732588 W YARMOUTH MA 0267.32.5.8. 8
Email: info@ewdrewelectrical.com Business Telephone: 508-778-0723
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:
,+=\ COMM.,iwealth of rn544aclL3e1td Official Use Only
ccyy c7 Permit No. �'. -3— (5'10 L)
/) * Thartm epent of._tire Serviced
s4 Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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: O5-'63- a 3
City or Town of: \ILYIAP(,�1(A To the Inspector of Wires:
By this application the undersign d gives notice o his or her intention to perform the electrical work described below.
Location(Street&Number) 5 9. sr-Y-6- FO ((ynQ
Owner or Tenant Telephone No.lit{'Qq q•1g,d
i Owner's Address -q ky O.S &k O V('
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / _Volts Overhead❑ Undgrd❑ No.of Meters
New Service -- Amps / _Volts Overhead❑ Undgrd❑ No.of Meters _
Number of Feeders and Ampacity _'1 I`
Location and Nature of Proposed Electrical Work: 1ns1rLl1 a iikbAS -� Sal4 b 1 Dci/.
Completion ofthefollowing table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of CeiLSusp.(Paddle)Fans No.
Transformers
KVAformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners `FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas BurnersInitiating Devices
No.of Ranges No.of Air Cond. Tons No.otAlertin Devices
Tons g
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 0 Monunicnectioec ln 0 Other
C
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW hoof 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:
.4ttach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 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
j 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 permi ssutppgpffic .
CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) Edt6(S6tvt p J i 6 vi 1. 6—i9 ^c 3
I certify,under the aims and p n es of erj ty,that the information on this application is ue and complete.
FIRM NAME: -V) 1YQGt- 6 C LIC.NO.: (3 116A
Licensee: '6 y j c_.[ •eui Signature_ _ LIC.NO.: e a
(If applicable err "zeme",In ens number fine.) Bus.Tel.No.. >'
Address: 481 'I D Min CO C 11r [.(1. r AIL Tel.No.: aJ
*Per M.G.L.c.147,S.57-61,security work requires epartment 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 I PERMIT FEE:$
Signature Telephone No.