HomeMy WebLinkAboutBLDE-23-19043 7'/3/23,6:41 AM about:blank
, Commonwealth of Massachusetts Zoe YA
. Town of Yarmouth
I O x� ,y
ELECTRICAL PERMIT '�� r� Syr
Job Address: 25 PARKERS NECK RD Unit:
Owner Name: DONAHUE JOHN M DONAHUE GINA L
Owner's Address: 28 THOMPSON DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19043
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: EV Charger
No. of Receptacle Outlets: 1 No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW R/�ting:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: l t v
Space Heating KW: Heating Equipment KW: No.Motors: al V fat 263
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ 1 o vi :
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/A ' .i- i
No.Oil Burners: No.Gas Burners: Video System ❑ Ne. . 14 c-, :
No.Air Conditioners: Total Tons: Telecom System ❑ No.o'•u4N- .-40
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devi ;
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: $ 1,000 Work to Start: July 28, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
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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q FIVED
Co m nwealth of Massachusetts Official Use `f
—_. 2 9 20D Permit No.: �Z3--10`T 3
E s.1ft , e artment of Fire Services Occupancy and Fee Checked:
k, L{G;.;;BQARD iF RE PREVENTION REGULATIONS [Rev.12023]
ION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in_accordance with the Massachusetts Electrical Code(MEC),527CMR 12.00
City or Town of: YARMOUTH_ Date: -76)- Zo 23
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): 5 PA IZt e--2S �.G c lt-t Unit No.:
Owner or Tenant: D Q in n a itci 41. Email:
Owner's Address: Phone�,�N ..
Is this permit in conjunction/1rr � with a building permit?(Check appropriate box)Yes E No&Permit No.:
Purpose of Building:LR C IiA46E-4- PC v(y Utility Authorization No.:
Existing Service: Amps / Volts Overhead El Underground❑ No.of Meters:
New Service: Amps_/ Volts Overhead❑ Underground❑ No.of Meters:
. Description of Proposed Electrical Installation: if 6 I) 5 e/e.re..k ' O m P 6-PLC
.Ctcco,r irt, car G Cic...,-TJJre,- 'Al
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-Grad.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Bunters: 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:
No.of Modules: Roof-Mount 0 Ground-Mount El Level 1❑ 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: f l o u v (When required by municipal policy)
Date Work to Start: G'7.9- La 2-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: f' a, I NS C ito�.,.c . A-1❑or C-1❑LIC.No.: ,-(3 cj�1
Master/Systems Licensee: -.t.e 5 liitc e-'.c-r- LIC.No.: 4/3R'`(9
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 1-1/ --riz. R'D-2t2.a C/FAie Coe r.yae-4,oc/H `w.A..D 2L13
Email: fl c t I e.1 e.e.n g Co.Kc..S r , .1 ek Telephone No.: 5-o 8--2 6-I s J 7
I certify,under he pains an penalties of perjury,that the information on this application is true and complete.
Licensee: / Print Name: /Vi r a SG-4 0e n-e r" Cell.No.: Sd$'774-/?)S'7
INSURANCE COVERAGE:Unless w' ed by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"co eted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in fork and has exhibited proof of a to the permit issuing office.
CHECt 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 0 Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.: