HomeMy WebLinkAboutBLDE-23-20044 12/17/23, 1:56 PM about:blank
Commonwealth of Massachusetts og Y-. i
* Town of Yarmouth p. ,tf I o C
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ELECTRICAL PERMIT4.
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Job Address: 80 CRANBERRY LN Unit:
Owner Name: DUFFY ARTHUR J DUFFY TRACY A
Owner's Address: 80 CRANBERRY LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20044
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Stand-by generator
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: 20 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-Grnd.❑ Above-Grnd.0 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 1 ❑ Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: December 13, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: TODD A HIGGINS License Number: 13438
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: ORLEANS, MA, 026531958 ORLEANS MA 026531958 Fee Paid: $75.00
Email: t.a.higginselectric@gmail.com Business Telephone: 508-237-6295
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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6DEC 5 2023 Official Use Only
I ommonwealth of Massachusetts
Permit No.: Z j —2�y�#
BUIIi •�'TMENT. Department ofFire Services Occupancy and Fee Checked:
By � >r+; � : • A - . OF FIRE PREVENTION REGULATIONS [Revp1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: y4 iZ o 0 Tt) • Date: Eta "`'/. z 3 .
To the Inspector of Wires:By this application,thetundersigned gives notices of his or her intention to perform the electri i"ed low.
Location(Street&Number): S./0 C g-411/36-02.A-X.
Unit No.: -
Owner or Tenant: AY?•T Dc' Fy Email:
Owner's Address: 44'7' 4l- Phone -733 4 Vdy.
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No®Permit No.:
Purpose of Building: R,C-S I Od 7 - Utility Authorization No.:
Existing Service: s200 Amps//57.2 Volts Overhead® Underground El No.of Meters:/
New Service: Amps / Volts Overhead El Underground❑ No.of Meters:
Description of Proposed Electrical Installation: V'(I/Z<✓t(, Q i- 7-39rtV a/G.€
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❑ No.of Devices:
Swimming Pool:In-Grnd.El 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 1 ❑ Level 2 El Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: /,,3""04=9 '- (When required by municipal policy)
Date Work to Start:/2 /3' ,2,3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Tom!-' /6 4/..Gs E2 "7'2 L- A-1 ❑or C-1 El LIC.No.:
Master/Systems Licensee:To O b H/G G iA/S LIC.No.: A t 3 Y.3 S'
Journeyman Licensee: I C3 t,° l4• !G li/ LIC.No.: Cf? 11/. /-3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: Rc7, ox cnn-e- "IS "Mg O 2-c53 -
Email: �y i3 ��')5El 'C- �OMC. ty��o✓� .?37 —c�, C ,,� Telephone No.: �� �_2
I certify,under the pains and penalties of perjury,that the information on t is application is true and complete.
Licensee: —►-obi e)4 H/ G'pon5Print Name �� 4 Cell.No.:3 ,'5.2•5 7,G295
INSURANCE COVERAGE:Unless waived by the own r,no permit for th erformance 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 same to the permit issuing office.
CHECK ONE: INSURANCE Sr 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 El Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
75,06