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Home My WebLink AboutBLDE-24-738 5/8/24,2,34_ 4%., t (12 about:blank `7 Commonwealth of Massachusetts e-o� • y� *� .� Town of Yarmouth , r` et -' a yy3 t.t 5 F "' iry "4 Wr 11 ELECTRICAL PERMIT Job Address: 112 CAPT LOTHROP RD Unit: Owner Name: FAGUNDES ADMILSON Owner's Address: 112 CAPT LOTHROP RD Phone: Email: Purpose of Building Residential Utility Authorization No.: t Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-738 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Permit to close out expired permit(s)#E21-0711 & E22-3020. 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: 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 Work to Start: May 8, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: License Number: Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Fee Paid: $50.00 Email: Business Telephone: 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: ‘A "--5(7).? -i-- C-k-. 3e--r) Aac_ C16]-thr clie emuklz . ciao /4644-rtiz about:blank 1/1 Commonwealth of Massachusetts Official Use Only __- Permit No.: = i_r' Department of Fire Services Occupancy and Fee Checked: e 1°t— BOARD 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), 527 CMR 12.00 City or Town of: YARMOUTH_ • Date: 5 I Iozil To the Inspector of Wires:By this application,the undersigned gives notices of his or h r intention to perform the electrical work described below. Location(Street&Number): i I o2 Co.p-# L l ''tl p- kok Unit No.: Owner or Tenant: OWI,)ER fly r/4 /'aQ/,tyldg f Email: FfICiVNJE54 ernSN'COP Owner's Address: SAME gb�s,E J Phone No.: .+4 cN20€ 119-3 Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑ Permit No.: Purpose of Building: 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: (h ✓ a44( backlo tl o l'&.v. g ke /are eKpfred perm:74 8Lb e- -dd3 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❑ 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 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ Nn of Devices. Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Suppl ftglEpt1�'te tE I V F No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 ❑ Level 2❑ L;vel'3�--Rating: OTHER: MAY 06 2024 Attach additional detail if desired,or as required by the Inspector of Wires. BUILDING DEPARTMENT Estimated Value of Electrical Work: (When regt,�ircc 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 El LIC.No.: Master/Systems Licensee: LIC. No.: Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: Email: Telephone No.: I certify, under the pains and penalties of perjury,that the information on this application is true and complete. Lam: Print Name: (.)t t/i A ('). ceti5 Cell.No.:R-"I'/t•44iI i}7- INSURANCE COVERAGE: Unless waived by the owner,no permit for the perfoYmance 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❑ Owner's agent❑ Owner/Agent: Tel.No.: i y -a O8_ 1117 Signature: Email.: FA 6 U nJb E 54 a Ins 1i1,cool .x Elliott, Ken From: Dave Sivertsen <dave.dhshome@gmail.com> Sent: Monday, February 10, 2025 7:52 AM To: Elliott, Ken Subject: 112 Captain Lothrop Rd BLD - EI-1 4 7 , Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Good morning! Apologies for the newness but we tried to set up an electrical inspection through the portal and didn't have any luck. We are ready for the rough electric inspection and hoping we can get it scheduled.Thank you. Diana Aguilar and Dave Sivertsen 774-283-5781 i