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HomeMy WebLinkAboutBLDE-24-604 expired 4/12/24,6:38 AM about:blank -- Commonwealth of Massachusetts ov• rA * Town of Yarmouth ,,, ELECTRICAL PERMIT Job Address: 195 CENTER ST Unit: Owner Name: CONNOLLY JAMES B Owner's Address: 195 CENTER ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-604 Existing Service Amps/Volts Overhead❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Post light, trench, exterior receptacles, &lights. No.of Receptacle Outlets: 5 No.of Switches: 5 Generator KW Rating: Type: No.Luminaires: 5 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❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: April 11, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: DAVID G LEACH License Number: 15886 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: CENTERVILLE, MA, 026320770 CENTERVILLE MA 026320770 Fee Paid: $75.00 Email: davidleachelectrician@gmail.com Business Telephone: 774-226-6978 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: Lti t P61 r" 1 z3/zq eV, • At ,,��\. about:blank 1/1 al Use Only Commonwealth of Massachusetts Official Permit No.: �ci _-6 6 - ►S -.fit = �1 Department of Fire Services Occupancy and Fee Checked: tr =w��- 44 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] '.-0`' 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: Al -II - :2.) 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): l (35- Ct&G -19-.. 5 l / Unit No.: Owner or Tenant: Z),vl- C/t1Q f-- CP%iJ o A-ky Email: ek44.Ji.0 �4c,A€L)isp SrA-tai l- Owner's Address:I 9 c'GlJi2�2 a-r, /{�Q.,a(G aKl ,4o - Phone No.:'77ri-71Fi,-t.t{8 j��"� Is this permit in conjuncts n with a building'pe nit?(Check appro late boxl'Yes❑ No [s]Permit No.: Purpose of Building: �43 t P io—f! ri—e-- Utility Authorization�/, No.: . 'v Existing Service: , i Amps/�/ d Volts Overhead❑ Underground LEA No. of Meters: l New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: 2. ,l i SL' /D -S j Z1 g (,2 ,^/U e- ©,./rs r A£ f cp7 '-J e--5 / jLT/�l' /2-47-49-lam 6 Completion of the following table may be waived by the Inspecto(of Wires. No.of Receptable Outlets: No.of Switches: L'----- Generator KW Rating: Type: No.Luminaires: 6 No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating: No.Appliances: KW: No. Water Heaters: KW: No.Transformers: lio r . r ` `I^ Space I leafing KW: Heating Equipment KW: No.Motors: Total HP: T W: .___..;" L No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of D.-vices: Swimming Pool: In-Grnd. ❑ Above-Grnd. 0 Hot-Tub 0 No.of Self-Contained Detection/Alertingce :l 202k No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.offilleG DEPARTMENT No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of3Devices•--- --— 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 0 Rating: OTHER: Tfr) 3 '5Fes" ly / / 2iir Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1 T /4 (When required by municipal policy) Date Work to Start: i/ ' 12'2`7' Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A-1 0 or C-1 ❑ LIC.No.: Master/Systems Licensee: - fJ LIC.No.: Journeyman Licensee:�<h/6 D t'7 L LIC. No.: /$-S ez. - Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.: Address: -1 .,6gy) 7 -70 NT2 va,/ M 0- yO a Z. 2_ Email: t. vjd li t`'Y/ G'4 -/�`' !e-14A(.) Q (-M/1�Lr4elep�hone No.: 77y-AA t'"Z 778° I certify, under the pains and penalties of perjury, that the information on this application i true and complete. Licensee:0�-e--c-,) Print Name: . /6 D g,-- )---�'� Cell. No.:.�b 5'' t y-.5-0.j 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 operation"coverage or its substantial equivalent.The undersigned certifies that such overage, op me is in force and has exhibited proof oa e to the permit issuing office. 1'-'`1 CHECK ONE: INSURANCE [►�j�BOND ❑ OTHER 0 Specify: 47 e t1,t L G�yQ��Qc /1 0 4 v;4- _ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insuran 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.: