HomeMy WebLinkAboutBLDE-23-19995 #6 12/11/23,6:33 AM about:blank
Commonwealth of Massachusetts og y.4"
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* ' Town of Yarmouth , ,
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ELECTRICAL PERMIT
Job Address: 4)Wl T Unit: --D� c 2e4-0+ l- (j(3j
Owner Name: 6 e c S e4 Jc l cc,4)
Owner's Address: rtrtoxis1 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19995
Existing Service Amps/Volts Overhead ❑ Underground D No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Replacement furnace (6 BOSTON AVENUE, Y.C.G.A.)
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:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: 1 Video System Cl No.of Devices: .J,
No.Air Conditioners: Total Tons: Telecom System 0 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: ��`
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Estimated Value of Electrical Work: $ 1,000 Work to Start: December 1, 2023
FIRM NAME: License Number:
Air
Master/System and/or Journeyman Licensee: FREDERICO CESAR
NOGUEIRA License Number: 58247
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: HYANNIS, MA, 02601 HYANNIS MA 02601 Fee Paid: $50.00
Email: nogueiraelectricianinc@hotmail.com Business Telephone: 508-932-2434
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 of Massachusetts Official Use Onl '
Permit No.: L Z.3 -(y y
2 v.��-_ � Department of Fire Services Occupancy and Fee Checked:
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—`�f= 4 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: 12-GG- z8 z3
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): (, 7.1- ,.1 A„f . Unit No.:
Owner or Tenant: De_IOC)r-rf.,tA 4Qbb,.rck Email: Debo.Nubbc.re1eCc,-r.c..t 1- .v.t.k-
Owner's Address: Co 13v5+0,., A,re. Phone No.: al I c- gV-7 Go 3 l
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No®Permit No.:
Purpose of Building: 1Z cS t cle 14 t-it.-( 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: c,),r.,.c-te. C e-iota c C.w.Q.✓►I- • w.Y\
Completion of the following table may be waived by the Inspector of Wires. REC 0-6
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: B U i u i iv a YA I z T M E N T
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.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: 1 Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 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 0 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:,,(coo (When required by municipal policy)
Date Work to Start: /Z-Of-Z023 C Inspectionsctr to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: crccl.e.rtcv jo5.re.A.re., tJ ‘rvc.va,•t \v\c . A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: (ret1 en cO N09,,,.e t,.w-- LIC.No.: SF Z It 4 /3
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:m
Address: �i t G✓l vt o15 Ztac (9ri vim, /-(y,„r.i`Sr iti l O Z Goci
Email: N09 cfc(r�ehc.i r,cr c:rl t KC.e u0)-w"_a,k, co,,, Telephone No.: 505-13 Z- Z 4 39
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee Print Name: eierice /Je5e-e/end_ Cell.No.: ,Serr- /r'3 Z -2 it 3`1
INSURANC C ciGE: 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 s e 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.:
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