HomeMy WebLinkAboutBLDE-23-19032 6/29/27 ':42 PM about:blank
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ELECTRICAL R AL PERMIT ,c.•A
Job Address: 37 TURTLE COVE RD Unit:
Owner Name: FRICKER THOMAS R FRICKER ANNE T
Owner's Address: 11 SHELIA LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19032
Existing Service Amps/Volts Overhead 0 Underground 0 No.of.Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters,
Description of Proposed Electrical Installation: Wire addition :' 2a 9
No.of Receptacle Outlets: 12 No.of Switches: 8 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 9 No.Wind Generators: Wind KW Rating: .•.a
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No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: "‘.N1
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: 1 Total KW: Total Tons: 1 Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.0 Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System Cl No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 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: June 29, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: THOMAS R FRICKER License Number: 29250
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: FRANKLIN, MA, 020383238 FRANKLIN MA 020383238 Fee Paid: $75.00
Email: tomfricker64@gmail.com Business Telephone: 508-561-0719
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:
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SUN 29 44nrl10 wealth ofMassachusetts Official Use Only nn
_ Permit No.: t✓'�3 " t 1 U
i� >� / DV• tment of Fire Services Occupancy and Fee Checked:
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Ii - :.s' • P. e ' E PREVENTION REGULATIONS [Rev. 1/2023]
t_v`M1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 1 00
City or Town of: YARMOUTH Date: ' Z 7/ 7 3
To the Inspector of Wires:By this application,the undersigned gives notices of his or her inten on to perform the electrical work described below.
Location(Street&Number): -1 ✓tyl,1 COU ' Unit No.:
Owner or Tenant: t 4 jZ ( (C 4 ( Email: 7'J`� eat o 6 y. ` 04-1(-. O�
Owner's Address: /( �( 7 LA- (L.-i `7 Phone No.( ?) 0 i(j
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: / Utility Authorization No.:
Existing Service: /D 1) Amps / O/ - 'Volts Overhead E 1 nderground 0 No. of Meters:
New Service: Amps / Volts Overhead��" El Underground El No.of Meters:
Description of Proposed Electrical Installation: l"i�+� 6 (7 7 D 7 '9/J r
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: /2 No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 9 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: r Total KW: / 6 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 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating: _
OTHER:
Attach additional detail if desired,or as 5pquired by the Inspector of Wires.
Estimated Value of Elect' al W rk: `- -6 6) O • (When required by municipal policy)
Date Work to Start: 6 ,/ `- T Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.:Journeyman Licensee: 711-D i'2 (Ue-0VI LIC.No.: rc)- /q,
-7, 0
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: ��,`nn
Address: /7 5/ ��, - �l(-�_ / i i/G(-( Li a/v)-
Email: 11/11 t( Z(, &f (co) PMilC , Cot'`-Telephone No.: ( 2 ") (o f - 2 (,
I certify,under the pains and penalties of perjury,that the inform o this a lication is true and complete. 1
• Licensee: iGl usm-c i2 (-Z(Ci of Print Nark:'"- ------ Cell.No.: 56) 5-/" d�(4,
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INSURANCE COVERAGE: Unless waived by the dwne o pe tt for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operatio'trcoverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of smear te'fo the permit issuing office.
CHECK ONE: INSURANCE[' BOND❑ OTHER 0 Specify:
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: Tel.No.:
Signature: Email.: