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HomeMy WebLinkAboutBLDE-24-383 expired 3/8/24, 1:23 PM about:blank Commonwealth of Massachusetts og • y: Town of Yarmouth ,, c xki ELECTRICAL PERMIT Job Address: 73 CROWES PURCHASE Unit: Owner Name: PATTON DELBERT E TRS Owner's Address: PO BOX 944 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-383 Existing Service Amps/Volts Overhead❑ Underground❑ No. of Meters: New Service Amps/Volts Overhead❑ 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: 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 ❑ 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: $ 0 Work to Start: March 8, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA 026733818 Fee Paid: $50.00 Email: pinchcalllynchAicloud.com Business Telephone: 77-208-8338 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: Li g [10 111 D about:blank 1/1 1 Commonwealth of Massachusetts Permit No.: Official U 3n V Department of Fire Services Occupancy and Fee hecked: I,-- 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: U-) YARMOUTH Date: 3—'-2 9 To the Inspector of Wires:By this application,the undersigned gi95 notices of his or her intention to perform the electrical work described below. li�ucf Location(Street&Number): 73 .o 5j 1/.-)1 1/ Unit No.: Sr,Owner or Tenant: V t i (.-"_X y Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No u Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters: New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters: Description of Proposed Electrical Installation: (FRS t't)12N ?.( wtf..fr— e,11=cow ti•-1 54..ITT H * ,—l0 G FZ 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 Tom: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grad.0 Above-Grad.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.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 0 Level I 0 Level 2 0 Level 3 0 RatiIR E C F I V G D OTHER: — Attach additional detail if desired or as required by the Inspector of Wires. / ir Estimated Value of Electrical Work: (When required by muni . •'l. �� •e EPARTMENT Date Work to Start: Inspections to be requested in accordance with MEC Rule Op FIRM NAME: A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: ,�/� LIC.No.: F-�° Journeyman Licensee: V /'d /✓L i C, 4 LIC.No.: 3 ci6O R g Security System Business requites a Division of Occupationtl Liccnsure"S"LIC. S-LIC.No.: Address: �,y//J < Q1 oel f�j y .5 o a6?3 7 Email: A, " l l �� ct -„epic//6©t' Telephone No.: 7 7 �� ^ p�J 7J I certify,en the pal an pe ides o perjury,that the lnf rmation this plicatio is true and complete. l� / Licensee: Print Name: lc 0-ei ( 4 qC 4 Cell.No.:7/ — �-q? % 7j INSURANCE COVE AG . nl s waived by the owner,no permit for the performanr 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 f e to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 Specify: OWNER'S INSURANCE W yam 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 0 Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: PiA/1'N Cr U Lpv c rf Z C Gee/ t 11.1"111