HomeMy WebLinkAboutBLDE-23-19465 permit expired 10/29/249/8/23, 1:09 PM about:blank
Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 248 CAMP ST UNIT C1 Unit:
Owner Name: JOHNSON MICHAEL F
Owner's Address: P O BOX 218 Phone: Email:
Purpose of
Building Residential Util# ftutl4orization No.:
Is this permit in conjunction with a building permit? No Permit_NBLDE-23-19465
Existing Service Amps / Volts Overhead ❑ Underground O, V iio..
New Service Amps / Volts Overhead ❑ Underground ❑ No. of M ers:
Description of Proposed Electrical Installation: Replacement water heater
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: 0 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:
olar PV KW DC Rating: Solar PV KW AC Rating:
Fo. 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 4, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: EDWARD L MERRY License Number: 17137
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733636 W YARMOUTH MA 026733636 Fee Paid: $50.00
Email: edwardmerry35@gmail.com Business Telephone: 508-221-4335
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
Department of Fire Services Permit No. � 3 _` "1 L( 5�
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 1/07]
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PL F,4SE PRhVT M TJVKORTYPE ALL IIVFORAV77O 9 Date: 9/8/2023
City or Town of Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street &c Number) 248 Camp St. Unit C-1 West Yarmouth
Owner orTenant Michael Johnson
Oumcr's Address
Is this permit in conjunction with a building permit?
Purpose of Building Condo
Existing Service Amps Volts
New Service Amps Volts
Number ofFeeders and Ampacity
Location and Nature of Proposed Electrical Work:
Telephone No. 703-4474768
Yes ❑ No *ED (Check Appropriate Box)
Utility Authorization No.
Overhead ❑ Undgrd ❑ No. of Rlcters
Overhead ❑ Undgrd ❑ No. of dletcrs
Connect replacement water heater
Completion of the follorving table nrav be waived by rhv 1—t—f im.
No. of Recessed Luminaires
No. of Ccil-Susp , (Paddle) Fans
Nu. of Total
Transformers MIA
No. of Lighting Outlets
No. ofnot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑]FIRE
No. of Emergency Lighting
cod rud.
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
ALARl1I5
No. of Zones
No. of Switches
No. of Gas Burners
No. of rJ Aectiou and
Inifiafin Devices
No. of gauges
No. of Air Cond. Tons
No. of Alerting Devices
Toes
No. ofWaste Disposers
Heat Pump
Number
1 Tons
KW
No. of Self -Contained
Totals
Dctection/AtertiDevices
No. of Disbsv�shers
SpsacclArca Heating KW
Local ❑ 4runicipal ❑ Oilier
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
er
No. of liai[eaiers
No, of No.
No. of Devices or Equivalent
KW
of
S B21[astc
Data wiring:
Nu or nev°icc, or Equivalent
No. Hydro massage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
eNa of rE ,ices or EuivaleuY
OTHER:
Estimated Value of Electrical Work:
Hrracn additional detail if desired, or as required by the Inspector of Wires.
(When required by municipal policy.)
Work to Stara: 94-2023 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVIE.RAGE: Unless.vaived by the owner, no permit for the performance ofelectrical 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.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) GENERAL COMP_ LIABILITY 06/242021
ceNify, under the pains and prnafties ofperjary, that the injormasatian on rlris application is true and carnptePe (Expiration Date)
F113M NATNIL: LIC. NO.: A171 37
Licensee: Signature LIC. No.: 35745E
(If applicable, enter "erentpl " in the license number line.) Bus. Tel. No.: 508-221-4335
k h AIL Tel XT_ -
'Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety `S" License: here: Lic. No.
my OWNER'S
belosINSURANCE herebyVvaive this requirement_ I amthe(check one)
have liability o.insurance a ranee coverage normally required by law. By
❑ acx'ner'S agent-
Owner/Agent
Signature Telephone No. PER11tIT FEE: S