HomeMy WebLinkAboutBLDE-23-19581 expired permit 10/29/249128/23, 7:21 AM about:blank
Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address:
33 CAPT SIMMONS RD
Owner Name:
ODONOVAN JOHN P
Owner's Address:
9 BEACON ST
Purpose of
Building
Residential
Unit:
Phone:
Is this permit in conjunction with a building permit? No
Existing Service Amps / Volts Overhead ❑ Underground ❑
New Service Amps / Volts Overhead ❑ Underground ❑
Description of Proposed Electrical Installation: Service switch for boiler
Email:
Utility Authorization No.:
Permit Number: BLDE-23-19581
No. of Meters:
No of ters:
No. of Receptacle Outlets:
No. of Switches: 0
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. ❑
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 Modules: Roof -Mount ❑ Ground -Mount ❑
No. of Electric Vehicle Supply Equipment:
Level 1 ❑ Level 2 ❑ Level 3 ❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: September 28, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA
026733818 Fee Paid: $50.00
Email: pinchcalllyg_ cloud.com Business Telephone: 774-208-8338
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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DECEIVED
SEP 2 7 ¢48Official Use Onl
o wealth of Massachusetts O
Permit No.: r Z� —
D a tment of Fire Services Occupancy and Fee Checked:
WL I ,�R��l 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), 527 C1,MR I UO
City or Town of: YARM0UTH Date:
To llte 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): j�)T. -A( i\/s Unit No.:
Owner or Tenant: 4l Email:
Owner's Address: Phone No.: 3 / o
Is this permit in conjunction with a building permit? (Check appropriate box) Yes ❑ No ❑ Permit No.: 33
Purpose of Building: 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: %�L— i J�
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 ElNo.
of Device _
Swimming Pool: In-Gmd. ❑
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 I ❑ Level 2 ❑
Level 3 ❑ Rating:
n•ruFu.
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: A-1 ❑ or C-I ❑ LIC. No.:
Master/Systems Licensee: LIC. No.:
Journeyman Licensee: ala,4r LIC. No.:
Security System Business requires a Division of Occupation I Licen;ure "S" LIC. S-LIC. No.:
Address: �� lA/'t��i� P IA 1.f7/%p io V I/-/►21,n "4 /.. 4/01 /_' , n n r n �
Date Work to Start:
Email: C Telephone No.: —7 7 Q g �3
I certify, un t/:e pai an pe !ties o perjury, that the inf rmation this plicatio is true and complete.
Licensee: Print Name: E ( Cell. No.: 7 Z L2
INSURANCE COVE G nl s waived by the owner, no permit for the perfbilm n 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 ame to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER [I Specify:
OWNER'S INSURANCE W VER: 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.: