HomeMy WebLinkAboutBLDE-24-824 5/23/24,6:31 AM ,\71 about:blank
Commonwealth of Massachusetts of•• y� �:
* Town of Yarmouth , . . 7.
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It ELECTRICAL PERMIT ",r a, p r
Job Address: 14 SHANNON CT Unit:
Owner Name: ROBERTS DENNIS R
Owner's Address: 121 FOX RUN DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-824
Existing Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Miscellaneous work as noted on expired permit(E22-2893)attached.
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.0 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 ❑ No.of Outlets: �y
No. Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: \I
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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 3,850 Work to Start: May 21, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RICHARD J HALEY License Number: 11867
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Palmer, MA, 010691705 Palmer MA 010691705 Fee Paid: $250.00
Email: DENNIS@WILLIAMROBERTSELECTRIC.COM Business Telephone: 413-636-9761
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 c ffeial e OA ,
Permit No.: C�� ,
I :.fit el--- Department of Fire Services Occupancy and Fee Checked:
9.0 BOARD OF FIRE PREVENTION [Rev. 1
4 REGULATIONS 1/2023
"'-�' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 MR 12.00
City or Town of: YARMOUTH __ • Date: 5/2/ 202,4
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): 14 S ION/VOA/ C'pl/eT Unit No.:
Owner or Tenant: 4 eAm s >i 1,4, f d6r/ T5 Email:
Owner's Address: /2/ /COJC fZUN A21✓f Phone No.:(AI I) S31-4,36
Is this permit in conjunction with a building permit?(Check appropriate box) Yes ❑ NoiQ Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: /CO Amps /,o/ Z4o Volts Overhead® Underground❑ No. of Meters: I
New Service: /p v Amps iuo / L4o Volts Overhead 54 Underground ❑ No. of Meters: /
Description of Proposed Electrical Installation: O,/ v ,flvxm 6 pgive,i. 2roLot4 Y3 pq, ,�I M r s re24
TO r4.L5 OR 14111. r&I-9I-1-Ir "(NAIL Z'u wf.sau Ntvu Wrv;c �'aF 3O poy d toasu4 ;
Completion of the following table may be waived by the Inspector of Wires. co ""'�'"�`' Sp��'`i�t�" srev
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 ❑ 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 vK E C E A V E D
Solar PV KW DC Rating: Solar PV KW AC Rating: No. of Electric Vehicle Supply Equip en �._._.,_.@ ___�_ _
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level I El Level 2 El Level 3 IIIRa ng.F
OTHER: MAY 212024
Attach additional detail if desired, or as required by the Inspector of Wires. BUILDING DEPARTMENT
Estimated Value of Electrical Work: , 3 8ST0 or (When required by ii uuiclpa policy)— --
`
Date Work to Start: inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME:Lk. Rosvas I✓„IT.T&1C., /14_JC. TAIL. A-1 ❑ or C-I ❑ LIC.No.: 118674
Master/Systems Licensee: R IC Fr4CDZ �'tAI,$y Q, LIC. No.: I1&6"7 A
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address:
Email: _ Telephone No.:
I certify,u pains a• 'penalties of perjury,that th information on this application is tr{r� nd car le04,2845
Licensee: �C A[AL �r\A Cell.l `. 4 ) GSG— (
Print Name: vx No.f�3� rp�(p 97(p(
INSURANC CO E P AGE: • - waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"come eted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof f same to the permit issuing office.
CHECK ONE: INSURANCE 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.: