HomeMy WebLinkAboutBLDE-24-865 5/31/24,6:27 AM about:blank
�, Commonwealth of Massachusetts � - •�17
* Town of Yarmouth �'� _ � �`
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ELECTRICAL PERMIT �< .-
Job Address: 12 ALBION ST Unit:
Owner Name: WEST YARMOUTH SERIES THREE LLC
Owner's Address: PO BOX 342 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-865
Existing Service Amps/Volts Overhead ❑ 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:
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: 0 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: $400 Work to Start: May 28, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RICHARD J ROONEY License Number: 27024
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: POCASSET, MA, 025590951 POCASSET MA 025590951 Fee Paid: $50.00
Email: rjrtmil@verizon.net Business Telephone: 508-274-7444
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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C mmonwealth of Massachusetts Official Use Only—
Permit �
*_ ,! Permit No.: L� — io10�
t�=.:,fit=�t Department of Fire Services Occupancy and Fee Checked:
1,=1 _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231
`'=.' 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 __ ---;;;2,Date: 5 -SO . t
To the Inspector of Wires: By this application,the undersigned gives netices of his or her intention to perform the electrical work described below.
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Location(Street&Number): / 4,B'I /U /n` Unit No.:
Owner or Tenant: / 'f y )hv?soll Email:
Owner's Address: (( 511-Olt Phone No.:
Is this permit in conjuncti with a building permit?(Check appropriate box)Yes❑ No T. Permit No.:
Purpose of Building: /QS j Dev -114 L Utility Authorization No.:
Existing Service: l L�Q Amps //0 /2..2_ Volts Overhead M. Underground❑ No. of Meters: I
New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: /QCC/yI red- 41e .J
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❑ 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 ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No. £nevirec•
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Eq ipRerE C E 1 V F D
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level I ❑ Level 2❑ Level 3 ating:
OTHER: MAY 3_0 2024
Attach additional detail if desired, or as required by the Inspector of IN
Wires. CO. c Cl o "B DG DEPP(RTMENT
Estimated Value of Electrical Work: '1-k- J (When required b Date Work to Start: 5-Z-c2y Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: A-1 ❑ or C-1 0 LIC.No.:
Master/Systems Licensee: LIC. No.:
Journeyman Licensee: C fi-n-re- ROC.IY LIC. No.: E02.7j,„2,4
Security System siness requires a Division o Occupational Licensure"S"LIC. S-LIC. No.:
Address: 7(_ j i 60 s M It t ct
Email: l?e. 7711 -1 (,,rievy( . rI 1 - _ Telephone No.: SZEJ"?7`t 7`1 q`1
I certify,u ai and enalties of perjury,that the • ormation on is application is true and complete.
Licensee: Print Name: /1(C1410) ()GA Cell.No.:
INSURANCE COVERAGE: Unles 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 e BOND 0 OTHER❑ Specify:
OWNER'S INSURANCE WA ER: 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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