HomeMy WebLinkAboutBLDE-24-286 2/22/24,6:30 AM about:blank
- s Commonwealth of Massachusetts og' Ya4c1.
* .Town of Yarmouth 0
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ELECTRICAL PERMIT c ,. de
Job Address: 52 PRINCE RD Unit: Cr`) 2--
Owner Name: CRUZ PAUL A
Owner's Address: 574 SLOCUM RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-286
Existing Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring for Trane heating system&thermostat.
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: 0 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 0 Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 800 Work to Start: February 19, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WAYNE N DIAMOND License Number: 37015
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: EASTHAM, MA, 026423341 EASTHAM MA 026423341 Fee Paid: $50.00
Email: diamondelectincAgmail.com Business Telephone: 508-237-4160
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:
CAcCc_ S C pcy. S 4r—tAki2 92 3( eL
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Commonwealth o/MaMachulett.1 _ Official Use Only
t Permit No. - Z�ION_` 2epartment o/Jire eruice4
f. `=9 Occupancy
c and Fee Checked
, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9,j i 9 c ()3.9
City or Town of: Al-Yy)D u-kk To the Inspe for f Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) Sp2 l r.' n)/,e RD
Owner or Tenant �q C 17L r' Telephone No. _
Owner's Address Sit}-pic___
Is this permit in conjunction with a building permit? Yes No VI (Check Appropriate Box)
Purpose of Building 6( r-ft/e_ Utility Authorization No.
Existing Service App Amps jap / 3YD Volts Overhead Undgrd Ix No. of Meters I
New Service Amps / Volts Overhead Undgrd I I No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ,s-pan r L,) r-C_-rsl-r l) )�}-)-� Sys*rn
4 j re r t) s+s -T t2d✓t9 A'd _ NI,?5
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets 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 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. Initiatingof Deteon and
1 Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ MConnectionunicipal ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevices
or Equivalent
No.of Devices Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Ele trical Work: Ybo (When required by municipal policy.)
Work to Start: j 4914 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C GE: 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.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER El (Specify:)
I certify,under the pAn s and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: G�11�E. Ivy c"---)i Aw),t)kJG(_ ]_ik)C LIC.NO.: 3 -O)S 6-
Licensee: SR,,,,_ Signature b is y/,,p�, LIC.NO.:
(If applicable, enter "exempt"in the license number line.) / Bus.Tel.No.• SAX- o-K '- LI It
Address: I o-21 or rt•ro kJ �� -4hl04 ril Ft UQ4,qa 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) El owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
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