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HomeMy WebLinkAboutBLDE-24-387 3/11/24,7:32 AM about:blank 17 ommonwealth of Massachusetts =oF • - * 'uTown of Yarmouth o ELECTRICAL PERMIT o K gym` Job Address: 7 LAKEWOOD RD Unit: Owner Name: DALEY JAMES B Owner's Address: 31 JOHNSON ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-387 Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters: New Service Amps/Volts Overhead ❑ Underground 0 No. of Meters: Description of Proposed Electrical Installation: Basement renovations No.of Receptacle Outlets: 25 No.of Switches: 13 Generator KW Rating: Type: No.Luminaires: 6 No.of Recessed Luminaires: 19 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 Cl Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $6,000 Work to Start: March 8, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: BRIAN F LALLY License Number: 28948 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: DORCHESTER, MA, 021222030 DORCHESTER MA 021222030 Fee Paid: $250.00 61 7- 777- 2q Z-7 Email: lallybrian65@gmail.com Business Telephone: 111111111 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: lie/ "5� l (f DiTt C wti i o f✓� ts.:c?.VQ. p 10 :—9) J Ro,„„,v, 1/(2-0(21 about:blank 1/1 tUJY7< G/t1YI.e U))4'1r)nut a pe -y Commonwealth er{ aaeachuesite Official Usc Only is. cc--� c'� Permit No. �Z H — 7 ' •-; 2eparlmenf el.s`irao Servicas i, y Occupancy and Fee Checked 0 _ ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j C ` (leave blank) .1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ;v, All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 I (PLEASE PRINT IN INK OR TME ALL INFORMATION) Date: //Iq IeG(k. Si Za 7 L f City or Town of: t^ 0 OA 14 t\ , To the Inspector of Wires: "" By this application the undersigned gives notice of his or her intention toton perform the electrical work described below. C Location(Street&Number) 7 !Age_W 00 &. Zo c&c,_ th Owner or Tenant jyV‘, Da�kt Telephone No. 351 -qg'7. 773 J ‘9 Owner's Address 1 L1R 4 Lkood eoctsi ' Is this permit in conjunction with a building permit? Yes E., No E (Check Appropriate Box) ¢' Purpose of Building c((ow__, ezyt,,,1-,a. err\ Utility Authorization No. • ', t! Existing Service to 6 Amps i 2.4, / ?*/a Volts Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd E N•Roc IJr f V I D Number of Feeders and Ampacity 1 ii Location and Nature of Proposed Electrical Work: Cc!44 o f y3 4 o,,, • MAR 08 2024 s Completion of the f following table may be r faimitiOr#M16k 61fff F:a No.of Ceil.-Susp.(Paddle)Fans No.of BY ___- oral No.of Recessed Luminaires lq Transformers KVA t No.of Luminaire Outlets (p No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2,5 No.of Oil Burners FIRE ALARMS No.of Zones ,- No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices I!. No.of Ranges O No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Q Totals: Detection/Alertin Devices No.of Dishwashers © Space/Area Heating KW A000 vlN fi ec 1❑ C Monnunicipal ection ❑ Other No.of Dryers Heating Appliances KW No. f Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KWSigns Ballasts No.of Devices or trivagglent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications f Devic or�alent OTHER: 00 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:4 G000 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: gl Atd LA IL LIC.NO.: %4 9i/8 (- Licensee: Signature LIC.NO.: (If applicable,frier' mpt'in th lice nump�r tits � 'n: Bus.Tel.No.; Address: A� K9f � 2d�d MII 094 22-- Alt.TeL No.: *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. Owner/Agent PERMIT FEE:$ Signature Telephone No.