HomeMy WebLinkAboutBLDE-24-301 2/23/24, 12:52 PM about:blank
Commonwealth of Massachusetts og • Y44
* Town of Yarmouth c
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t ELECTRICAL PERMIT Atf
Job Address: 17 CREST CIR Unit:
Owner Name: CRESTVALLEY DEVELOPMENT LLC
Owner's Address: 63 PROSPECT ST Phone: Email:
Purpose of
Building Residential _ Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-301
Existing Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Finished Basement
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 El 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: $ 3,000 Work to Start: February 20, 2024
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: $75.00
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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*_ Commonwealth of Massachusetts Permit No.: }� _ � y
'� _41l (t Department of Fire Services Occupancy and Fee Cheecked:
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1. = • BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/2023]
%..-c4' 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: 2 ) - aao-`f
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): i 1 C.2€5 r Ct c`Gi-e m/.GSj f 'No.:
Owner or Tenant:('rrsr i i 4 I? l)t✓do,Imt-,4T ti C Email:
Owner's Address: (/ one No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes No ❑ Permit No.:
Purpose of Building: t'l t^t 5 4+_e/ $il-r-e4v.....T Utility Authorization No.:
Existing Service: 2-0 0 Amps /Za/ ?a/OVolts Overhead❑ Underground 0-----. No. of Meters: /
New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: (fit)/tC ,-i e+is / 10.4 Se,est
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating:
No.Appliances: KW: No. Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.0 Above-Grnd. ❑ Hot-Tub❑ No.of Self-Contained Detection/Alegiir, ,Dexac : r. , w� r
No.Oil Burners: No.Gas Burners: Video System 0 No. of De iCes5:.-,_ 6 i
No.Air Conditioners: Total Tons: Telecom System 0 No.of Qutlpts: 1
No.Energy Storage Systems: KWH Storage Rating: Security System ElNo.of Dev(cesFEB 23 2024
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipine t:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3 0 I `0fl1 DE PAR f IAENT
OTHER: By ____ —
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3oo0 (When required by municipal policy)
Date Work to Start: .2- ?tc-7-o4 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: Nt i I 36 fnc CA, ' A-1 �r C-1 ❑ LIC.No.: /413'7V9
Master/Systems Licensee: LiC.No.:
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: LW r-rC GlGrs Ci/1 i/(JL",,�r f6i4y�sit
Email: A Pic .(,f,+e eo CO S 5i At _ Telephone No.: 520$-776- /r rS 7
I certify, e the.pains an pen, ties of perjury,that the information on this application is true and complete.
Licensee: , t Print Name: Pie I / SC e- Cell.No.: 5611--2-76-/8S7
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 operati.n"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of same to the per, it issuing office.
CHECK ONE: INSURANCE ❑ 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❑ Owner's agent❑
Owner/Agent: Tel. No.:
Signature:_ Email.: