HomeMy WebLinkAboutBLDE-23-20005- 12/11/23,3:35 PM about:blank
Commonwealth of Massachusetts OV Yam °
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ELECTRICAL PERMIT �
Job Address: 119 CRANBERRY LN Unit:
Owner Name: CARON MARK W TR CARON LAURIE M TR
Owner's Address: 119 CRANBERRY LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20005
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meter. /
Description of Proposed Electrical Installation: Wire generator&disconnect stove /. . `�' (/QQ
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: 14 Type: Generac
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 Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: December 8, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: FREDERICK V KING License Number: 29113
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: ATTLEBORO, MA, 027033149 ATTLEBORO MA 027033149 Fee Paid: $75.00
Email: markc7010@yahoo.com Business Telephone: 508-335-6621
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 o Massachusetts ficial Use Only
——— f Permit No.: (�Z3 "2 r "�S
___l�!_; Department of Fire Services Occupancy and Fee Checked:
c. --�_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
•y'"• 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: YARMOUTH Date: ` 2.-grj--Z 3
To the 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): //f C�&4-1 E tk/ t () ,SO,Xveyn, Unit No.:
Owner or Tenant:/1g(ti7 C/--kOAu Email: H1&f 7,,,,eyvh417,06 , co M
Owner's Address: /iqj' Chfolkitet LA) Phone/No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No® Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: 3 a L Amps IV / z l()Volts Overhead Er Underground❑ No.of Meters:,
New Service: Amps / Volts Overhead❑ Underground❑1 No.of Meters:___
. Description of Proposed Electrical Installation: W �- &e t\-rw, sic) <' (N Vtd. a,3 cc net-v
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: 141 K Type: 6t•;1cItal.
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:— —1
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Eq '.
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3 f■RtElc E I V E
OTHER:
[ DEC I 1 20B
Attach additional detail if desired,or iqg required by the Inspector of Wires.
Estimated Value of Electrical Work: 5 O0 F C' O' (When required .► t, wpigipp l;policy)TM ENT
Date Work to Start: Ii-, - 2..,E Inspections to be requested in accordance with MEC 'ti -- t-. . .,.I .1;0letion
FIRM NAME: tr e f r v.� — CO A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: t T �' J LIC.No.: e 3,A i 1 '5
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: a To C est y J--- * '�\..2-toof„ \ A. 0 2'7 v`"�
Email: / Telephone No.: 5 '- ''") (o .;Z l
I certify,under th pains and/prnalties of perjury,that the information on this application is true and complete.
Licensee: ✓1 ✓1vt tJ NI Jill Print Name: f d e A e.r v'c , ,,I, (2. 5 Cell.No.: O ''j`3j(;,,(,,, 2- 1
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance 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❑ 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[XJ Owner's agent❑
Owner/Agent: 2/G 6-44Di() Tel.No.: 5O,6- 10 ff 07.37
Signature: a. Email.: itiNz,eG COI7y�hoo,Gori