HomeMy WebLinkAboutBLDE-23-19517- 9/18/33,3:03 PM about:blank
Commonwealth of Massachusetts r.ov Yg ,
7.
Town of Yarmouth
ELECTRICAL PERMIT � �Job Address: 24 VALLEY RD Unit:
Owner Name: CRESTVALLEY DEVELOPMENT LLC
Owner's Address: 63 PROSPECT ST Phone: Email:
Purpose of
Building Residential Utility Authorization N .: 13494997
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE- 3-19517
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps 200/Volts Overhead ❑ Underground M No. of Meters: 1
Description of Proposed Electrical Installation: New residence
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:
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: •;a
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: $ 15,000 Work to Start: September 18, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $180.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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$ - 023 Commonwealth of Massachusetts
_ -- Permit No.:t-�=3 - le'j�
�q=* lid! / Department of Fire Services Occupancy and Fee Checked:
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By •
.- -;�- BOA OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CMR 12.00
City or Town of: YARMOUTH Date: /0-72 23
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): t tJ 41(. -Ct. /Let . LA)• '42^+D4 fJnit No.:
Owner or Tenant: C i . esT U9 J] CL] ay ott r'GI.0 Email:
Owner's Address: one No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes No❑Permit No.: 5i-D4-a a—/bv20
Purpose of Building: Nl w Nv'l)d v(a L_ fi-v U Utility Authorization No.: / 3 y t c./ 9 9 7
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: �-�d 4 Amps /� /mac' Volts Overhead 0 Underground 0/ No.of Meters: /
Description of Proposed Electrical Installation: I b'l S hca_ Apo 4,,,P t/Apt-c2r 4 e rem
a A I A.4,s h w.2„—,:j "U 2000 sot oadl use new co rl uche,
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 0 No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.0 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 Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 _ Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: It l 5-s o a o (When required by municipal policy) •
Date Work to Start: &) (II LA I( Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: 10 e-i ( SGit De ne r A-1 C-1 ❑ LIC.No.: ,!3 e /
el
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: `fit `7—/4-A-0.c sc-s (-‘•/ cif/ lla 2.4-v-(I{
Email: n e- i I- )(et-A Co4t-C.A-S Y , it a Telephone No.:.cD 7' 77 C - 1 SS
17
I certi r the pain nd enalties of perjury,that the information on this application is true and complete.Licensee: Print Name: /i e, / S Cat a e,--' Cell.No.: Srd '')7 b _/S S 7
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 El BOND❑ OTHER 0 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 0
Owner/Agent: Tel.No.:
Signature: Email.: