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Home My WebLink AboutBLDE-23-19979- 12/6/23,2:45 PM about:blank Commonwealth of Massachusetts de V4 * Town of Yarmouth � 1y ELECTRICAL PERMIT f Job Address: 29 GUNWALE WAY Unit: Owner Name: BUCKLEY JOHN F JR BUCKLEY LYNNE F Owner's Address: 29 GUNWALE WAY Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19979 Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Replacement furnace 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: KW: No.Transformers: Total KVA: _ _ f 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 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: 1 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 Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: December 6, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA 026733818 Fee Paid: $50.00 Email: pinchcalllynch@icloud.com Business Telephone: 774-208-8338 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: about:blank 1/1 Official Use O Commonwealth of Massachusetts Permit No.: 0)2,3 At-79 �1.,=_ t Department of Fire Services Occupancy and Fee Checked: �_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] •y" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 2.0 City or Town of: YARMOUTH Date: To the Inspector of Wires:By th applica on,the undersigi bd ives ,00ticeey of hi or her intention to perform the electrica wor described below. Location(Street&Number : ' �t/`1 Unit No.: Owner or Tenant: T©44 'c, l Qx Email: Owner's Address: 5 a. Phone No.: Is this permit in conjunction y ith a byilding permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: v/el(mq Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: . Description of Proposed Electrical Installation: 1/(4red gq r-Ce7Wre' Completion of the following table may be waived by the Inspector of I➢ires. 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 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub❑ 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 0 No.of Out ets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of De •c r' Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: - --- -7 No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 ❑ Level 2 0 Level 3 ❑ R,stin : 1 OTHER: ' DEC 0 62023 iI Attach additional detail if desired,or as required by the Inspector of Wires. BUILDING D E PA R T M E N T 3y Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 ❑or C-1 ❑ LIC.No.: _ Master/Systems Licensee: /- LIC.No.: .. Journeyman Licensee: * '/d ( r ii . LIC.No.: 34,6Iq f Security System Business requir s a Division of Occupational Licensure"S"LIC. S-LI .No.: Address: O Email: Telephone No.: r V I certify,and he pains ,nd enalties perjury,that the i 'nation on hi application 's true and complete. Licensee. e('% r/ Print Name: G/K/6? , (,' Cell.No.: 77/k—/02 i??? INSURA C COVE' • GE: nless waived by the owner,no permit for the performaice of elec rical work may issue unless the licensee provides proof of liability includi "completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of a 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❑ Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: