HomeMy WebLinkAboutBLDE-24-705 5/2/24, 7:21 AM ` t `j` about:biank
_� 1 Commonwealth of Massachusetts of • yA�
*„ Town of Yarmouth wT i' c
' ELECTRICAL PERMIT ; � %
Job Address: 2 STARBOARD RUN Unit:
Owner Name: STARBOARD RUN LLC
Owner's Address: 50 WAMSUTTA WAY Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-705
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Kitchen renovations, replacement panel, install recessed lighting in living room
& dining room.
No.of Receptacle Outlets: 10 No.of Switches: 6 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 18 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: $ 8,200 Work to Start: April 29, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MATHEUS NIERO License Number: 58036
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: LOWELL, MA, 01852 LOWELL MA 01852 Fee Paid: $75.00
Email: matheusnieroelectrician@outlook.com Business Telephone: 774-346-0222
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
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Permit No.: T�
re-t' -_mil— � Department of Fire Services Occupancy and Fee Checked:
•,..mit/ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
"v= 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: YARMCut ti Date: oihs/a y
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): 2 yrQR OAcD ci\V N 1 4 YARMO UT Unit No.:
Owner or Tenant: 51140 k "3"Aq ui?S S A R K i.5 Email: C31.Ac K 5AcK 63 ®veg 1 Zoti- NCB'
Owner's Address: 50 VVA NI 5 vtril, '+(./A`( :We a wt IM A) M A Phone No.: 50 400--$6 9 S
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 121 No ®Permit No.:(3L1)R 24 -16
Purpose of Building: K,-hC I{QV - Dipe,'N6 Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: (;tC 10 toAl R 1 AI7L44 ri'01Ut E.L ect ff t c 4L
QArvki., (R.t cec75 kr ki.v..N6 I N'>' 4'6 .
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: I 0 No.of Switches: 6 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: I$ No.Wind Generators: Wind K •
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total C E i V E.
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 MAY 01. 2024
Swimming Pool:In-Grnd.0 Above-Gmd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alertit►g Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Dki t N G DEPARTMENT
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❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: t R.200 (When required by municipal policy)
Date Work to Start: 0 vaci Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 44t-J1,e t)5 it/. .R O A-1 ❑ or C-1 ❑LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: Ally, U5 ,ti i go LIC.No.: So 36— 13
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: *V O (oaroeb 5T- Lou.?1: (_
Email: 4 a flick 44 PRO eI,cfA(t.ip& ourioDk • cam Telephone No.: 3-9-Y 3t1b 0222
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: 5g036 4 Print Name: /V7i /-Ii,g,,, ,4 i'I 0 Cell.No.: 1-7 V3 yo.022-
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 IZl 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: Tel.No.:
Signature: Email.: