HomeMy WebLinkAboutBLDE-23-19774 expired 11/2/23,6:59 AM about:blank
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ELECTRICAL PERMIT
Job Address: 15 CENTERBOARD LN Unit:
Owner Name: HUNT GREGORY B HUNT LYNDA MULLALY
Owner's Address: 51 SILVER HILL RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19774
Existing Service Amps I Volts Overhead 0 Underground❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Swimming pool
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: 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 0 Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $4,500 Work to Start: November 2, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAY W BOMBARDIER License Number: 33621
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mashpee, Massachusetts, 02649 Mashpee Massachusetts 02649 Fee Paid: $85.00
Email: rwbombardier3@gmail.com Business Telephone: 508-274-9282
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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. — R...E C E I V ` _ .D 'nwealth o/ aiJachccietle Official Use Only l
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=* = , Permit No. �� � «�7—t NOV 0 2023 t ��
Je,,rimed o cre _ eruiceJ
=__-VLF Occupancy and Fee Checked
e - l f3QppRRnn P(�F� E PREVENTION REGULATIONS Rev. 1/07
i i) F'AR7M j (leave blank)
AEPLICATiON FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: h ( 1 (ii
City or Town of: y 311— To the Inspector of Wires:
By this application the undersigned gi e notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 15 ceprt ep---3 D ii-0._{'N L't
Owner or Tenant G1 V9-4‘, "r- Telephone No1-60C1 I(o 9Y
Q Owner's Address t s C 0 A"(2-1
Q Is this permit in conjunction with a building permit? Yes- No ❑ (Check Appropriate Box)
Purpose of Building S`,.)`yv vvl t r4 ot Pal Utility Authorization No.
Existing Service 2OO Amps I /di-0Volts Overhead 2/Undgrd❑ No.of Meters
` New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity 1 ;--OD
Location and Nature of
Proposed Electrical Work: I c SAW--f D,J 0 CaVV 1 C/'Do 1 V
CT S /0 ND( Ni `t" 1 30t. I-O 2 5W v neol r to /
1 )� ►�Completion of thi following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. ❑ In-grn ❑ Battery Units
'' '''.6
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
( No.of Switches No.of Gas Burners Tot Initiating Devices
e\/ No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
v No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Detection/Alerting Devices
—0 Totals:
Municipal
No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other
i. Heating Appliances KW Security Systems:*
No.of Dryers No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Q Telecommunications Wiring
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
--3 Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of lectrical Work: Li 4 vo - (When required by municipal policy.)
L Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO E GE: 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.
CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perju ,that the information on this application is true and complete.
FIRM NAME: a—AVM •9 lA) 60 VA i3 ADO (`L"-- LIC.NO.:?j3C201-f'
Signature LIC.NO.:
Licensee: ��d-�C.(
(Ifapplicable,ZtercJexerpgt"in the licenseitt ,line) 5 Bus.Tel.No.:.
PP i�() P ✓n w4 t�3-b�� Alt.Tel.No.:
Address:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
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. I
Owner/Agent Telephone No. ( PERMIT FEE: $
Signature
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