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HomeMy WebLinkAboutBLDE-24-823 5/23/24,6:18 AM Cl�� j about:blank ,, Commonwealth of Massachusetts of • YA 1,. *„ Town of Yarmouth ''' i11 fO � yy� �` MATTACHEESE ^4 ELECTRICAL PERMIT Job Address: 7 MALLARD ST Unit: Owner Name: FOULDS D RANDOLPH Owner's Address: 7 MALLARD ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-823 Existing Service Amps/Volts Overhead ❑ Underground E No. of Meters: New Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Make corrections as needed for unpermitted basement. 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: ln-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 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❑ Rating: Estimated Value of Electrical Work: $ 1,000 Work to Start: May 21, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: WILLIAM M MASSEY License Number: 28400 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Worcester, MA, 016043362 Worcester MA 016043362 Fee Paid: $250.00 Email: billmmassey-@gmail.com Business Telephone: 508-277-2823 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: -5( (-1-i-t- (RgeCT3 ti4iL tA 04,ikt6 Ceki IC tilEd- LMI-L. 4 5 V4-4 1, C"K --.34-C EL t 1/1 about:blank w ill?/77 a--i 1 /()Slate/la of fici Use ney,,�, Commonwealth Massachusetts /�iJj Permit No.: `6- ifiTit_ t Department of Fire Services Occupancy and Fee Checked: _ l ,_,'� q BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] .•-E4`' 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:,5 -0R b -,2?Y To the Inspector of Wires: By this applic i n,t e n ers ned g ves non o his or her intention to perform the electrical work described below. Location(Street&N giber): Unit No.: Owner or Tenant: 6/7 �/ © . S Email: Owner's Address: / Phone No.• Is this permit in conjunctionn _ with a/.building permit?(Check appropriate box) Yes❑ No ❑ Permit No.: Purpose of Building: Ye� d/ e!25 e Utij Authorization No.: Existing Service: goo Amps, /G 'olts Overhead Underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters: / Description of Proposed Electrical Installation: �. 0 / it t f'l4,5 67 . ' /Weleci i 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.❑ Above-Grnd. ❑ Hot-Tub 0 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 ❑ I\o. Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply E n!:' .- D No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 El Leve 3 Rating: ��� OTHER: MAY 212024 Attach additional detail if desired, or a required by the Inspector of Wires. BUILDING DEPARTMENT Estimated Value of Electrical Work: je,-% (When required�Y ieipel-pe to Date Work to Start: /- '-+ /hnnspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: l//d f9 /' ` 9 s�L;(� A-1 ❑ or C 1 ❑ LIC.No.: Master/Systems Licensee: / LIC.No.: � � C2 Journeyman Licensee: 'j142;2!//‘g LIC. No.: Security System Business requires a Division of Occyr attonalLiiceensure"S"LIC.. S-LIC. No.: Address: /O7 / /��, ,1 f y�'1f` jE I W /' ! 0`6t2 ey- Email: 61L'674,41 145 S eo t me-i/ . Co p7 _ Telephone No.: I certify,under the pains a id enal tes o perjury, that the 'nf f rm it o► .this application is true and complete. Licensee Print Name: , . /; Cell.No.60 j7�7. a� INSUR E O ERAGE: Un es waived by the owner,ne •e Ott o the pe��rm ante,of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equiva nt.The undersigned certifies that such coverage is in force and has exhibited proof of sal o the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ Specifj/ 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.: