HomeMy WebLinkAboutBLDE-24-1089 7/16/24,6:28 AM about:blank
Commonwealth of Massachusetts Y9�
* Town of Yarmouth
ELECTRICAL PERMIT
/HeOPORAT EO e
Job Address: 24 REBECCA LN Unit:
Owner Name: WILLIAMSON THOMAS J
Owner's Address: 32 GENERAL HOLWAY ROAD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-1089
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Install proper circuit breakers for work done in basement area.
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❑ No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ 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 ❑ 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 Cl Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: July 15, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MATTHEW KANE License Number: 55328
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 35 Harvard Street South Yarmouth MA 02664 Fee Paid: $50.00
Email: mattykane616@yahoo.com Business Telephone: 774-994-7370
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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1/1
RECEIVED
1 ItS 2Q24 ommonwealth of Massachusetts Official lip onyx t
_„ Permit No.: IV
- ;/I M F NT Department of Fire Services Occupancy and Fee Checked:
� BUIC � ., P .s° - OF FIRE PREVENTION REGULATIONS [Rev.1/2023j
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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: YARMOUTH Date: •7/t5/Zt1
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): a'l /?ebty(& LP Unit No.:
Owner or Tenant: Th0ruC GUd/iumSOA Email:
Owner's Address: 07 V frhe r4 Gn Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No 0 Permit No.:
Purpose of Building: Ut ity Authorization No.:
Existing Service: Amps / Volts Overhead Underground 0 No.of Meters:
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Chonfe Cirrurt br«,KPr,i to Arc 404t t yro-r7.4 fGJf-
f(jr FSPY)x'/H- GIrCr-r 17
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-Gmd.0 Above-Gmd.❑ Hot-Tub❑ 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❑ 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❑ Ground-Mount 0 Level 1❑ Level 2❑ Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: 7/3/2'71 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: `nAffh ew Ku e e A-1 0 or C-1❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: /Ykt/<htW /CG rt C LIC.No.: 5 5 3 a tY /3
Security System Business requires a Division of Occupatipnal Licensure"S"LIC. S-LIC.No.:
Address: 3) Harvard SI- S-Yawn rt'14 0c1669
Email: inA-//y Kone (/(v (0 ycc boo.(c,'i TelephoneNo.: 77•/-96Y-73770
I certi,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: ��— Print Name: mt,/ht(,J /<2,1e Cell.No.: 7)'/-rrgs'7370
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 0 BOND 0 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: