HomeMy WebLinkAboutBLDE-24-984 6/24/24,4:26 PM about:blank
Commonwealth of Massachusetts o YAK
* iii
:; ,� �,- o4.ff
Town of Yarmouth ,g '
ELECTRICAL PERMIT
�cR of\b . �
Job Address: 30 LUCERNE DR Unit:
Owner Name: CURTIS BRADFORD
Owner's Address: 30 LUCERNE DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-984
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Replacement condensor with heat pump.
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: 1 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 Work to Start: June 20, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH W SILVA License Number: 9147
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SANDWICH, MA, 025632761 SANDWICH MA 025632761 Fee Paid: $50.00
Email: silvaelectric52@gmail.com Business Telephone: 508-428-9082
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:
' /?(//o?‘
about:blank 1/1
Rf4i7
COmmwmuaa/!h 01 rr/aaeeadursalfe Official Use Only
1 , .2 c� ��'// nn Permit No. _c 84,
-y 2aparfmani o`Jin_gargle's
]1- Occupancy and Fee Checked
. -'� BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
+1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6"Lo-z y
City or Town of: 7A1--'rZ01-714 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 3 O f C..,C/JE- D
s]
rrj Owner or Tenant (d i-7/.f /Z/QO>w2O Telephone No.
Owner's Address SfJMe
,k) Is this permit in conjunction with a building permit? Yes ❑ No u (Check Appropriate Box)
VPurpose of Building S/'V1'G£ CA"'"t r c 4 Utility Authorization No.
W Existing Service Amps / Volts Overhead❑ Undgrd El No.of Meters
J
CNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
J
Number of Feeders and Ampacity
\ Location and Nature of Proposed Electrical Work: IA/i� v4 fGg�•*ic^,r .4/ J o,r^ ,o
"d L�tr f l-70t/ - /7 U' /,ie a,v/l
Completion of the followinE table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Transformers KVA KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.oet Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
and
No.of Switches No.of Gas Burners No.of Detection
Devices
No.of Ranges No.of Air Cond. Tot No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained
p Totals: Detection/Alertin Lo Devices
�
No.of Dishwashers Space/Area Heating KW cal❑M
Connectiunicipon n Mel.
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
KW
Heaters Signs Ballasts No.of Devices or Equivalent _
No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsesWiring:
N
y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start:6 !-Zy 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 cove. is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER❑ (Specify:)
I certify,under the sins and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: /4-‘71s" .s£yic/G- LIC.NO.:ZOvGJKf
Licensee:-J O-�-1"d e J -4 J. Signature ----- LIC.NO.r9 Jr/`'7
r
A applicable,enter"exam'? in the licen a rumy� ne. Bus.TeL No.m"I yLF%</L
Address:3)/50,46.- y SG✓�--,--,— �L�L3 Alt.Tel.No.•;uk7J j3//
''Per M.G.L.c.147.s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,1 hereby waive this requirement. I am the(check one)0 owner ❑owner's agent.
Owner/Agent PERMIT FEE:$
Signature Telephone No.