HomeMy WebLinkAboutBLDE-23-15948 5/26/23, 1:45 PM about:blank
\, Commonwealth of Massachusetts -o� YA
* . , Town of Yarmouth ,.
ELECTRICAL PERMIT A
Job Address: 115 RIVER ST Unit:
Owner Name: GAUGHRAN BARRY W GAUGHRAN HELEN L
Owner's Address: 1440 VFW PKWY Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15948
Existing Service Amps/Volts Overhead SI Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground SI No.of Meters:
Description of Proposed Electrical Installation: new underground electrical service &trench (774- 92)rd
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No.of Receptacle Outlets: No.of Switches: Generator KW Rating: p O
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: r,`'• •. g.
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: i, n
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KVy!/ O
, (/84??,
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: O
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: $9,000 Work to Start: May 26, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: BRYANT K DUNDON License Number: 53109
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 67 Taurus Drive MASHPEE MA 026493458 Fee Paid: $75.00
Email: dundonelectric@gmail.com Business Telephone: 774-994-1092
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
ms�- Permit No.: 3/DE- L3-�5 7914
-:-S-�' Department of Fire Services Occupancy and Fee Checked:
"IL. BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023]
.�''' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00
City or Town of: YARMOUTH Date:> Z(', z0L3
To the Inspector of Wires:By this applicatk',the undersigned gives notices of his or her intention to perform the electric work described below.
Location(Street&Number): /Lc (K r'r� f S IL ff Unit No.:
Owner or Tenant: Ro.ft't c�—uuArc.4 Email:Ur)rl�rle•/prfl,C eR 5/�ar/•Cc.
Owner's Address: /(5//, CS f Phone No.:a-7 ?cf.; 2105
Is this permit in conjunction ith a building permit?(Check appropriate box)Yes No❑Permit No.:
Purpose of Building: eSrcc� c'I Utili Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps /7� /4 Volts Overhead❑ rg Underound No.of Meters:
.. Description of Proposed Electrical Installation: 4„) ()nkl e.(5/rvciir e rA/c,e (
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 0 No.of Devices:
Swimming Pool:In-Gmd.0 Above-Gmd.0 Hot-Tub 0 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: R F C E I i
No.of Modules: Roof-Mount El Ground-Mount❑ Level I❑ Level 2❑ Level 3❑ Rating:
OTHER: % y—MA g 2Attach additional detail if desired,or as required by the Inspector of Wires.
I DINGA
Estimated Value of Electrical Work: T000, c-n (When required by munict a, ncy) •
Date Work to Start:s/P, /Z, Inspections to be requested in accordance with MEC Rule 10,an upon completion.
FIRM NAME: Vr4 t.n ffc� _ �rcAi ��.� A-1❑or C-1❑LIC.No.:
Master/Systems Licensee:/� LIC.No.:S 3/0 el
Journeyman Licensee: /J/'/vvr-I- ,,,a,.r tin LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:Address: l Q r ? 7 r,1 (:) ,,An
ozsy9
Email:c)cu i de,,P(C�fl.LC_S 4-fa r/ .G,/.7 • Telephone No.:77y y /O }
I certify,under the pains and penalties of perjury,that the information on this ap anon is true and complete.
Licensee:� �-7 d ci Print Name: J .r i 7 `(..�,C./C. Cell.No.: 77 y ' ''9•9'/10
INSURANCE COVERAGE:Unless waived by the owner,no perm' for the performance of electrical work may issue unless the licensee �,l
. 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: