HomeMy WebLinkAboutBLDE-24-1281 8/20/24,6:06 AM about:blank
Commonwealth of Massachusetts -oF YAK
*V�. Town of Yarmouth �� 1� 0,
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ELECTRICAL PERMIT
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Job Address: 37 PAMET RD Unit:
Owner Name: CARRAS GEORGE W
Owner's Address: 37 PAMET RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-1281
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Supply and install wiring for Septic System
No.of Receptacle Outlets: 1 No.of Switches: 1 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: 0.25 Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 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 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 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: August 17, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOHN C BURKE License Number: 50364
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WOBURN, MA, 018016104 WOBURN MA 018016104 Fee Paid: $50.00
Email: burke4acvp@gmail.com Business Telephone: 781-789-1989
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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— — Commonwealth of Massachusetts Official Use Only
A': �- i!f Department of Fire Services Occupancy and Fee Checked:
. Permit No.:
if); BOA OF FIRE PREVENTION REGULATIONS [Rev.u2o231
BUILD1 i'l mA'' LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
By _
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 130
:City or Town of: YARMOUTH Date //tS
To the Inspector of Wires:By this application,tyh�o ndersigned gives notices of his or her intention to perform the electric work described below.
Location(Street&Number): �7 f j)Yi )f r Unit No.:
Owner or Tenant: „ Q',IA., Ic/7,✓G('.f Email:
Owner's Address: Phone No.: ,'5"-O$ 7-/—`/.7S3
Is this permit in conjunction with a building permit?(Check appropriate box)Yeses No 0 Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: /O u Amps/So/„,L/ Volts Overhead a-Underground 0 No.of Meters: I
New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: 5 ,g ti Aft/af ,J-ruS 7/4-2 L—
L✓i�2itll zv2 . SFP 7/C ,..S�!c 'fii./mot Pum/ ON() A L42/9 t
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: )/ otal KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.o4Devices:
Swimming Pool:In-Gmd.0 Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Bumers: 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 0 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: —Ei//cJ ,15ciitir p- LIC.No.: l S 03 6`/
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: XS-- _ e ( fait l) f X T LtJ00-vz/J, /7)/f O l Fs0
Email: A,,,-kp L��L+i/P l" in a,1, a ary Telephone No.: -2 g/ -7 '/`f
I certi,under a ins and eena!es o pe�ry,that the information on this application is true and complete
•
. Licensee. `' t� Print Name: J t It l t-,✓ Cell.No.: 7g%-7 /y a--T
INSU NC OVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides r of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof oLsprne 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: /l