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HomeMy WebLinkAboutBLDE-24-482 3/26/24, 3:24 PM about:blank Commonwealth of Massachusetts oF • Y r, yij11 Town of Yarmouth ELECTRICAL PERMIT o?` Job Address: 25 LAKE RD EAST Unit: Owner Name: AWV HOMES & DEVELOPMENT LLC Owner's Address: 93 DOVER RD Phone: - - ext. Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-482 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Septic pump&alarm 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 ❑ 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: $ 1,500 Work to Start: March 26, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JOHN M PIMENTAL License Number: 27968 Security System Business requires a Division of Occupational Licensure "S" LIC. Licens • Address: EAST FALMOUTH, MA, 025365455 EAST FALMOUTH MA 025365455 F e Paid: $50.00 Email:jmpinstaller@aol.com B siness Telephone: 8-5664472 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performa al 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: 3/27/2y i rf4ct about:blank 1/1 Commonwealth of Massachusetts Z 1,se_O,nly,� Permit No.: k--k I- t-61 Department of Fire Services Occupancy and Fee Checked: Cr -rt= N BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] %.4— 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:-at7 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): c, 5 / t k Ref_ fr ����e,rl2r Unit No.: Owner or Tenant: - VV tivi4,c05 I be-fib-I-6 Email: Owner's Address: pAA.a✓. Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No❑ Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Gotcrl Ce-te ..e4 &_. . 'f u frd t Alm-cwt. 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.❑ 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 0 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 Eq itpser D No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 El Level 2❑ Level 3 ❑ a .I _- OTHER: MAR 26 2021 Attach additional detail if desired, or as required by the Inspector of Wires. _ Estimated Value of Electrical Work: 15�-- (When required b 1ii1M *I 1 rcFjARTMENT 8y __ Date Work to Start: 3'deo--at-( Inspections to be requested in accordance with MEC , upon comp et(ion. FIRM NAME: A-1 0 or C-1 0 LIC. No.: Master/Systems Licensee: LIC. No.: Journeyman Licensee: .3 U� r l 1"b I �,. ,,/ LIC. No.:a,-2/6I1,_ Security System Business requires a Division of Occupational icensure"S"LIC. S-LIC.No.: Address: -5O P1-tst-t° Lek e...._ , 010,-Alk Peat erg- '3 Co Email: J y4P l%1 Shat4 6 LO(- ij y✓\ _ Telephone No.: 5-O7 J 1plo qq7)--.. I certify,u de II pai n enalties 'ury,that the information on this applicati n is true and complete. /, Licensee: C!� ��' v Print Name: JO Yt/fl �/'nt/411 Cell. No.: 'o P 544 G 72 - INSUR CE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provid 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 sa to the permit issuing office. CHECK ONE: INSURANCE Z BOND ❑ OTHER❑ 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 0 Owner/Agent: Tel.No.: Signature: Email.: