HomeMy WebLinkAboutBLDE-23-15969 #232 permit expiredJob Address
Owner Name
Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
822 ROUTE 28
MACLYN LLC
Unit:
Owner's Address: 822 ROUTE 28 Phone:
Purpose of
Building Commercial
Is this permit in conjunction with a building permit? No
Existing Service Amps / Volts Overhead C Underground Ci
New Service Amps / Volts Overhead ❑ Underground ❑
Description of Proposed Electrical Installation: replace exhaust in bathroom #232
Email:
Utility Authorization No.:
Permit Number: BLDE-23-15969
Meters:
ters:
,O
No. of Receptacle Outlets:
No. of Switches:
Generator KW Rating:
No. Luminaires:
No. of Recessed Luminaires:
No. Wind Generators: Wind KIN a i
No. Appliances: KW:
No. Water Heaters: KW:
No. Transformers: Total
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 Ci Rating:
Estimated Value of Electrical Work: $ 500
FIRM NAME:
Work to Start: June 26, 2023
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:
ac" Cr lez4vi OL-1
R E C EIVE'D
C o — o/ VWjach j th Official Use Only
MAY 26 20j6P rt nt o/�ire �ervice� Permit No.
Occupancy and Fee Checked
By BSI I� VENTION REGULATIONS [Rev. 1/071 (leave blank)
APPLICATION FOR 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 TYPE ALL INFORMATION) Date: b12(p 72
l �
City or Town of.: y !f&kA To the �ector of Wires:
Location (Street & Number) % P�
Owner or Tenant„ f�l l l\i' Telephone No.
Owner's Address
Is this permit in conjun ton with a building ermit. Yes �C
Purpose of Building CU m V y 16k
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 of Proposed Electrical Work:
n
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
PL
No. o Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑
rnd. zrnd.
o. of Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
Totals:
Number
I.Tons
KW
..........
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Mun'cipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
SecuritySystems:*
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalent
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 AI
Licensee: Andrew I.evesnue Signature LIC. NO.: 17318A
(Ifopplicable, enter "exempt" in the license number line) Bus. Tel. o.:
Addrecc! 461 1 owor Cnlyntry Rd HnLUirh Pnrt M.9 fil6d6Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57- 1, 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 PERMIT FEE. $
Signature Telephone No.
Please contact rachael@hphclle.com if you have any questions