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Home My WebLink AboutBLDE-24-331 2/29,.7:34 AM about:blank Commonwealth of Massachusetts og y4 . IT ° Town of Yarmouth � , ` "O y ELECTRICAL PERMIT �`� � ' Job Address: 1 MAYFLOWER LN Unit: Owner Name: BROWN MAUREEN E Owner's Address: 116 SILVER LEAF LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-331 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Garage conversion to in-law apartment 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❑ 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 ❑ 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: $ 5,000 Work to Start: February 29, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $75.00 Email: neileileen@comcast.net Business Telephone: 508-776-1857 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: rye( -3(4(z1( Kg- -11,1\JP- 8(6(v--(16 1/1 about:blank Commonwealth of Massachusetts Of eOn , Permit No.: ,_ ► �. Department of Fire Services Occupancy an ee Checked: 1°l— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] Y, — 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: YA R M O UTH_ • Date: � -- .9-2© aV To the Inspector of Wires:By this application,the undersigned Ives notices of his or her intee tion o form the electrical work described below. Location(Street&Number): ) h Ay F-t o wet_ G/✓ 5Y o.: Owner or Tenant: m 4u Att.,-t bro..W1 Email: Owner's Address: one No.: Is this permit in conjunction w'th a buildin perm' ?(Check appro riate box)Yes No❑ Permit No.: p4- 3 3 Purpose of Building: ! /V Utility thorization No.: Existing Service: / Amps / /..y/)Volts Overhead nderground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: W 1 re 9. CL> co/1 v. t~ Si an `-+'- , / .1 l 'fol./ lei-P r 4i e.-7 r 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❑ 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 0 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 0 Level 1 ❑ Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as re uired by the Inspector of Wires. Estimated Value of Electrical Work: 5 oaf (When required by municipal policy) Date Work to Start: —2g,l112-4 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 0. FIRM NAME: C i SC 1.1-c2-c.qC' A-1 0 or C-1 0 LIC.No.: 4(.31q.? Master/Systems Licensee: LIC.No.: _ Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupatiional, �V Liicens�urre/"S"LIC. S-LIC.No.: Address: act r-g-A' iZ C�`�/ cSr y-q/z„ ZO 07/ Email: 1'') e i I {, kern 0 C c/si-c s - At.r. — Telephone No.: O 774 "1 273- 7 I cut' ,un e the f ins a p nalties of perjury,that the Cell.No.: G information(.:this application is true and complete. , Licensee: Print Name: v<< ✓c� - 77E (if 7 INSURANC 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❑ BOND 0 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 0 Owner/Agent: Tel.No.: Signature: Email.: