HomeMy WebLinkAboutBLDE-23-20087 12/28/23, 12:55 PM about:blank
Commonwealth of Massachusetts of • V
*.� Town of Yarmouth
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' ELECTRICAL PERMIT , 7
Job Address: 26 ZEPHYR DR Unit:
Owner Name: OLIVERI DAVID R CO-TRS OLIVERI CATHY R CO-TRS
Owner's Address: 14 OLD BOSTON TURNPIKE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-20087
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Basement bathroom, lighting, exhaust fan, & sub panel.
No.of Receptacle Outlets: 6 No.of Switches: 6 Generator KW Rating: Type:
No. Luminaires: 1 No.of Recessed Luminaires: 4 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❑ 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: $ 1,500 Work to Start: December 19, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NICHOLAS BRATKO License Number: 54022
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WORCESTER, MA, 01606 WORCESTER MA 01606 Fee Paid: $75.00
Email: nick@stelectrical.net Business Telephone: 508-789-8016
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 , D � -�
_. 1- Department of Fire Services f__ Occupancyy nd ee hecked:
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�� m BOARD OF FIRE PREVENTION REGULA ION D1 G1 ''F'A/ 923 -
\'-� APPLICATION FOR PERMIT TO PERFORM CAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: YARMOUTH_ Date: la//'j %aS
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): �Co re pi,tr, V 1Z • Unit No.:
Owner or Tenant: C'� k.'/ o re
I Email:
Owner's Address: Z 2 '7_e— 12k,—S— y J h )vyL� Phone No.:S®.6 —3-10--8°i Li I
Is this permit in conjunction with a building permit?(heck appropriate box)Yes iNo ❑ Permit No.:
Purpose of Building: lV C.&) /at,(h,Fczsy►i I"t -1?-)c pc— Ut' ity Authorization No.:
Existing Service: VX9 Amps /20/240Volts Overhead NVAUnderground❑ No. of Meters: 1
New Service: -- Amps / Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Ne t'.:'CC-,l y✓t. I'cl l se yn -4-
w 1 't. ri 1`c-j t- ) ram(-it c10- ci-Klck Sc.. 1 re,f?e___(
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: 6, No.of Switches: Ej Generator KW Rating: '— Type:
No.Luminaires: ( No.of Recessed Luminaires: 1 No. Wind Generators: Wind KW Rating:
No.Appliances: KW: No. Water Heaters: KW: No.Transformers: cam'—dotal KVA:
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. 0 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 0 Rating:
OTHER:
Attach additional detail if desired, or a required by the Inspector of Wires.
Estimated Value of Electrical Work: ,JPC.29,. CO (When required by municipal policy)
Date Work to Start: ),),/J'R ,23 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: ,J tYl0 /( A-1 0 or C 1 0 LIC.No.:
Master/Systems Licensee: rr ��� // LIC.No.: rr����rr�� cc��
Journeyman Licensee: V �'-S l >"IG.. t 7 LIC.No.: S "l c7 -. TS
Security System Business requires a Division of{�'(, Occupational Licensure"S"LIC. S-LIC.No.:/�,3f'
Address: )- t 1 J t�GL 1�`��. 1 C / ln' k 6CC7.
/V
Email: e- S T ELP , r \ Telephone No.: D
I certify,under the ains and penalties of perjury, that the information on this application is true and complete.
Licensee: /o 1! c7C r print Name: Cell.No.:_S.(27k3'^( el.:20�(. -
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of e ectrical work may issue unless the licensee
provides proof of liability including"c pleted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of me to the permit issuing office.
CHECK ONE: INSURANCE BOND❑ OTHER❑ 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: A Tel.No.:
Signature: 77 /1/11(a Email.: