HomeMy WebLinkAboutBLDE-23-20093 10:27 AM about:blank
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*,; Town of Yarmouth � � ��
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' ELECTRICAL PERMIT � 70,
Job Address: 100 LOOKOUT RD Unit:
Owner Name: OLEARY f9Rt-M COL.. v ‘<ceiv1rA
Owner's Address: 100 LOOKOUT RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20093
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Replace damaged service (Panel to be replaced in future)
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: 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: $ 2,000 Work to Start: December 26, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID E COLEMAN License Number: 17221
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTCNS MLS, MA, 026481048 MARSTONS MLS MA
026481048 Fee Paid: $50.00
Email: coelect@corncast.net Business Telephone: 508-428-7445
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 Official Use Only
„wowPermit No.: e'� 11,3
BUI i _==_.-4= RTMENT Department of Fire Services
_ Occupancy. and Fee Checked:
%
By: �,���.a—j� Rev1/2023
. , : : OF FIRE PREVENTION REGULATIONS � 1
it
y"'�_�e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
k All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
. City or Town of: Yarmouth Date: 12/28/23
V‘ To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below.
100 Lookout Road Yarmouth port Location (Street & Number): Po Unit No.:
13 Owner or Tenant: Coreen Keenan Email:
Owner's Address: 1095 Boston Post Rd Sudbury Phone No.:
Is this permit in conjunction with a building permit? (Check appropriate box) Yes 0 No ® Permit No.:
Purpose of Building: Just Purchased residential Utility Authorization No. : Emergency
Existing Service: 200 a Amps 125 / 250 Volts Overhead ® Underground 0 No. of Meters: 2
kis New Service: 200 Amps 125 / 250 Volts Overhead EZ1 Underground n No. of Meters: 1
Description of Proposed Electrical Installation: Service blew off house.Replaced all new.Returning offpeak meter. Had to
4604
4) reenergize due to a ceptic and crawl space sump pump. Replace old seu with ser and seperated G&N. Panel to be replace later
Completion of the.following table may be waived by the Inspector of Wires.
No. of Rece table Outlets: No. of Switches: Generator KW Rating: Type:
g
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 0 No. of Self-Contained Detection/Alerting Devices:
No. Oil Burners: No. Gas Burners: Video System 0 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 0 Level 1 0 Level 2 0 Level 3 ❑ Rating:
OTHER:
Removed numerous circuits that were not hooked up to get panel cover on properly. Elect. reconnected service
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $2000.00 (When required by municipal policy)
Date Work to Start: 12/26/23 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: Coleman Electric Inc A- 1 0 or C-1 0 LIC. No.:
Master/Systems Licensee: LIC. No.: A17221
Journeyman Licensee: David Coleman President LIC. No.: E29607
Security System Business requires a Division of Occupational Licensure "S" LIC. S-LIC. No.:
Address: 62 Fleetwood Path, Marstons Mills Ma 02648
Email: Coelect@comcast.net Telephone No.: 508-428-7445
I certify, under the pains and penalties ofperjury, that the information on this application is true and complete.
Licensee: David Coleman Print Name: CCell. No.: 508-364-8456
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 coverage
is in force and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND EJ OTHER EJ Specify: Liability
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 El
Owner / Agent: Tel. No.:
Signature: _ Email.:
Ce*
Commonwealth of Massachusetts Official Use Only
Permit No..
lazio;-L;-__L-; P
Department of Fire services Occupancy and Fee Checked:
0 = = BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231
%,..,, ,,,/ 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: 12/28/23 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): 100 Lookout Road Yarmouthport Unit No.:
Owner or Tenant: s C..o 1 t K'ii_-1&ri Email:
Owner's Address: 1095 Boston Post Rd Sudbury Phone No.:
Is this permit in conjunction with a building permit'? (Check appropriate box) Yes 0 No EZI Permit No.:
Purpose of Building: Just Purchased residential Utility Authorization No. 15944655
Existing Service: 200 a Amps 125 / 250 Volts Overhead 2 Underground 0 No. of Meters: 2
Ncw Service: 200 Amps 125 / 250 _ Volts Overhead 2 Underground El No. of Meters: 1
Description of Proposed Electrical Installation: Service blew off house.Replaced all new.Returning offpeak meter. Had to
reenergize due to a ceptic and crawl space sump pump. Replace old seu with ser and seperated G&N. Panel to be replace later
Completion of'the following table may be waived by the Inspector of Wires. OFI PEAK METER NUMBER 2373545
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. 0 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 0 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 ❑ Level 1 ❑ Level 2 0 Level 3 ❑ Rating:
OTHER:
Removed numerous circuits that were not hooked up to get panel cover on properly. Elect. reconnected service
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $2000.00 (When required by municipal policy)
Date Work to Start: 12/26/23 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: Coleman Electric Inc A- 1 0 or C- 1 ❑ LIC. No.: __
Master/Systems Licensee: LIC, No.: A17221
Journeyman Licensee: David Coleman President LIC. No.: E29607
Security System Business requires a Division of Occupational Licensure "S" LIC. S-LIC. No.:
Address: 62 Fleetwood Path, Marstons Mills Ma 02648
Email: Coelect@comcast.net Telephone No.: 508-428-7445
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
Licensee: David Coleman DPPrint Name: Cell. No. : 508-364-8456
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 coverage
is in force and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND El OTHER ❑ Specify: Liability
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by la w. 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.: ____ _