HomeMy WebLinkAboutBLDE-24-801 5/20/24,7:15 AM about:blank
'O 11 Commonwealth of Massachusetts of• YAK ,,
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O -I' ELECTRICAL PERMIT �� . � - 4...
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Job Address: 22 DRIFTWOOD LN Unit:
Owner Name: RICHARD DOVE
Owner's Address: Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-801
Existing Service Amps/Volts Overhead El Underground❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Remodel master bed room, bath room, guest bathroom, basement& mini split
system.Add sub panel.
No.of Receptacle Outlets: 40 No.of Switches: 20 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 30 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: 1 Total KW: Total Tons: 1.5 Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grad.❑ 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 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: May 13, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JERONIMO MARQUES License Number: 22751
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WOBURN, MA, 018015540 WOBURN MA 018015540 Fee Paid: $75.00
Email:jon@longfellowdb.com Business Telephone: 774-269-5521
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 se o„ ly_
�� *_ Permit No.:
01- 5t Department of Fire Services Occupancy and Fee Checked:
.=-`= - 0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
..—v.l' 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: YARMOUTH_ Date: ,51/4 p/;24/
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): 22 pcit'74,,r, t LAJ Unit No.:
Owner or Tenant: RiClta/ff a ve. Email: /'eA48 @ US.4• Com
Owner's Address: 06.-Cie ;Gt LrJ Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No Q Permit No.:
Purpose of Building: !"e5/Gde/7Ge Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: ,f ',i/Die/ /r?c%/c. -- /R,GM/ .-a,,,,
joe.yi L,rt/lirao-4 ; "/i!7i yP/'f, A5 ' scf'7 T 1`� /4/9 �, die/
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: yo No.of Switches: .2.0 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 30 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: /s Total Tons: Fire Alarm System El 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 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❑ Level I ❑ Level 2 EFILFeert IIaygF D
OTHER: _.._.___________
Attach additional detail if desired, or as required by the Inspector of Wires. MAY 16 ZQ?`t
Estimated Value of Electrical Work: /a,axe (WhenBU • ,PyotPMi i Iic l)
Date Work to Start: 5//3/.2y Inspections to be requested in accordance with MEC Rule 10__r_and wor completion.
FIRM NAME: ( gtVl deSig4 bul/c' A-1 0 or C-1 ❑ LIC.No.:
Master/Systems Lice✓nsee: -0-elori r rv70 MexcfveS LIC. No.: 2.2 752. -.4
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address:
Email: Soh c:5 40v lro db. Coiv1 Telephone No.: 774e 2G`l 55.-Zi
I certify,under the pains and penalties of perjury, that the information on this application is true and complete.
Licensee: `--_� Print Name:c /YfC��q/� Cell.No.: 77y,?Cy55,21
INSURA E COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
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 sa a to the permit issuing office.
CHECK ONE: INSURANCE [BOND❑ OTHER❑ Specify:
P fy:
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 0
Owner/Agent: Tel. No.:
Signature:
Email.: