HomeMy WebLinkAboutBLDE-23-15968 #204 permit expired6/1/23, 3:27 PM about:blank
Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 822 ROUTE 28 Unit:
Owner Name: MACLYN LLC
Owner's Address: 822 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15968
Existing Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps / Volts Overhead ❑ Underground ❑ No. Meters:
Description of Proposed Electrical Installation: replace exhaust in bathroom - Unit 204
No. of Receptacle Outlets:
No. of Switches:
Generator KW Rating: e:
No. Luminaires:
No. of Recessed Luminaires:
No. Wind Generators: Wi
No. Appliances: KW:
No. Water Heaters: KW:
No. Transformers: taT Qi4 G
Space Heating KW:
Heating Equipment KW:
No. Motors: Total HP: Total K
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: $ 500 Work to Start: May 26, 2023
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: ANDREW M LEVESQUE License Number: 17318
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 461 Lower Country. Rd HARWICH PORT MA 026461831 Fee Paid: $80.00
Email: rachael@hphcllc.com Business Telephone: 508-432-3959
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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ENTION REGULATIONS
Official Use Only
PermitNo.%301- Z
Occupancy and Fee Checked
[Rev. 1/071 (leave blank)
APFt PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TrPEALL INFORMATION) Date: �) 4?6 -3
City or Town of: y'(\AC 1 To the Inspector of Wires:
Location (Street & Number)
Owner or Tenant Q )
Owner's Address
Is this permit in conjunction with a building permit? Yes X
Purpose of Building.) 'Al 14 D� .1 ,
Telephone No.
No ❑ (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature f Proposed Electrical Work:
i ) l ry cl i1/1 Va t Si�"V i �Y 2M
Completion of the ollowin table may be waived b the Inspector of Wires.
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- El
rnd. rnd.
o. o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o Detection and
No. Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
I.NRmper].Ton.s.
KW
No. of Self -Contained
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Mumc'pal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
SecuritySystems:*
No. of Devices or Equivalent
No. of Water KW
of No. of
Data Wiring:
Heaters
Si ns Ballasts
Signs
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
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.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Harwich Port Heating and Cooling LIC. NO.: 593 Al
Licensee: Andrew Levesque Signature o� " LIC. NO.: 17318A
(Ifapplicable, enter "exempt" in the license number line) Bus. Tel. o.:
Addre-mv 461 1 uwer Country Rd Harwich Port k4n 06d6 Alt. Tel. No.: 5084323959
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No.
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.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
Please contact rachael@hphcllc.com if you have any questions