HomeMy WebLinkAboutBLDE-23-16044 6/12/23,7:02 AM about:blank
Commonwealth of Massachusetts o; Ya
*mi Town of Yarmouth �� 0
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ELECTRICAL PERMIT
Job Address: 34 WHITES PATH Unit:
Owner Name: THIRTY FOUR WHITES PATH LLC
Owner's Address: 20 NORTH MAIN ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number:8LDE-26044
Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meter ,J
New Service Amps/Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Install LED lighting --.., ' ,, 4.,�
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 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: Total KW: Total Tons: Fire Alarm System ElNo.of Devices:
. -
Swimming Pool: In-Grnd.0 Above-Grnd.0 Hot Tub El 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 ❑ 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 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 7, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAUL R BATALLAS License Number: 20262
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Westminster, MA, 014731212 Westminster MA 014731212 Fee Paid: $80.00
Email: raulbatallaselectric@verizon.net Business Telephone: 978-400-5291
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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Commonwealth of Massachusetts Official Use Only
Permit No.: l 2.j _k i0o y
t!_ -5t Department of Fire Services Occupancy and Fee Checked:
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; I, -� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
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'' -�' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: ! s'. bftz, tak_ Date: G/7/.Z 3
To the Inspector of Wires:By this application.the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): Pi lthi/rs Pot-mil. Unit No.:
Owner or Tenant: /4t44pii,cy (roe Vlet ' Email:
Owner's Address: 0 Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No[a Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: `•Jy16f t./( .^/.Lsc Leto artbrl
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 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: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No. Gas Burners: Video System 0 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 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: di 319•GQ (When required by municipal policy)
Date Work to Start: 0/7/2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: /(SEk ic, A-1 or C-1 ❑ LIC. No.: �1' b9/41
Master/Systems Licensee: ILWI &hLIit 5 LIC.No.: 40444 4
Journeyman Licensee: 444 &*hL//45 LIC.No.: 31/
Security System Business requires a Division of Occupational Licensure"S"LTC. S-LIC. No.:
Address: AY t$iute Rel £ ld,tsinvi sS 14, met O/Y73
Email: raklb# MI/a 1$G/LG/i L/ p)rtPi.20/1•hhLt" Telephone No.: OFf%dt golf•11t 9J
I certify,u e p in and p hies of perjury,that the information on this application is true and complete.
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Licensee: Print Name: &Id $4k//a5 Cell.No.: 94•i33'1701b/
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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 Ffil_ BOND❑ R ' :J�f pix r aed6441 kiall f9/4
OWNER'S INSURANCE WAIVER: I am a aMktt t*e EcdnMe eP have the liability insurance coverage normally
required by law.By my signature below,I herey v{aive this requirement.I the:(Check one)Owner 0 Owner's agent 0
Owner/Agent: I _1 t 1 N 08 2023 1.No.:
Signature: I mail.:
IBUILDING DEPARTMENT
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