HomeMy WebLinkAboutBLDE-24-1031 7/3/24.2:11 PM about:blank
Commonwealth of Massachusetts o�YA
Town of Yarmouth , _
ELECTRICAL PERMIT "�" -
coRPORA,00,
Job Address: 62 DRIVING TEE CIR Unit:
Owner Name: HADDEN ANDREW F TR
Owner's Address: 17 TAFT ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-1031
Existing Service Amps/Volts Overhead Cl Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Kitchen remodel
No.of Receptacle Outlets: 7 No.of Switches: 3 Generator KW Rating: Type:
No. Luminaires: 7 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 ❑ 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 Cl Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 2,000 Work to Start: July 3, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KURT CASANOVA License Number: 23129
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: YARMOUTH PORT, MA, 026752409 YARMOUTH PORT MA
026752409 Fee Paid: $75.00
Email: casanovaelectriccorp@gmail.com Business Telephone: 508-280-0466
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 o///IasacLuaetti Official Use Only i
-=_- cc//�� ��77 C� Permit No. (J —(�`3 1
�-at .2epartment o/ }ire Jeruiced
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/1/24
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 62 Driving Tee Circle
Owner or Tenant Hadden Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box)
Purpose of Building Home Utility Authorization No.
Existing Service Amps / Volts Overhead_ Undgrd Lir No.of-Meters
New Service Amps / Volts Overhead El Undgrd❑ R 0 Mcwrs V. .P
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Kitchen remodel JUL 0 1 2024
bust-ntfJG U-i'Af-tTM [N,
Completion of the followingtable may bel�yvatved by the inspector
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f r
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 3 swimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 3 No.of Gas Burners No.of Detection and
Initiating Devices
Tot
No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices
No.of Self-Contained
No.of Waste Disposers H�Tot Pump Number Tons KW Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local L. Municipal ❑ Other
p Connection
No.of Dryers Heating Appliances KW Security Systems:*
rY No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent
g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 2000 (When required by municipal policy.)
Work to Start: 7/1/24 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Specify)
I certify, under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: Casanova Electric Corp / (i Mp `(r LIC.NO.: 23129-A
Licensee: Kurt Casanova Signature LIC.NO.: 12340-B
(If applicable, enter"exempt"in the license number line.) Bus.Tel.No.. 508-280-0466
Address: 39 Harpoon Lane,Yarmouth Port,Ma 02675 Alt.Tel.No.:
*Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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
Signature Telephone No. I PERMIT FEE:$ 75.00