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Home My WebLink AboutBLDE-24-206 expired ')J12/24..5:42 AM about:blank Commonwealth of Massachusetts s of yA Town of Yarmouth $ a O 'Ur f 1, ,9', ‘1, ELECTRICAL PERMIT � �;'�¢ .. :,;ter. Job Address: 9 SIOUX RD Unit: Owner Name: CORCORAN ROBERT F Owner's Address: 300 MAPLE OAK DR Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-206 Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Replacement HVAC 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: $ 1,200 Work to Start: February 1, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: TODD A HIGGINS License Number: 13438 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: ORLEANS,.MA, 026531958 ORLEANS MA 026531958 Fee Paid: $50.00 Email: t.a.higginselec:ric@gmail.com Business Telephone: 508-237-6295 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: ,:JD 1 L.t 1:010 11-- Pr-laig D Z/ 42-SL 1/1 about:blank Commonwealth of Massachusetts rcial pseAnly (0,,Permit No.: __f Department of Fire Services Occupancy and Fee Checked: SL-=4- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 1v=i' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12. 0 City or Town of: f Ai?4fl&C Z.. Date: . - 4-2. To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perfonn the electrical work described below. Location(Street&Number): 9 5/ow)z Unit No.: Owner or Tenant: jZDY� C C) (ZCO' Email: Owner's Address:3 4-0.4'1 Phone No.: 51>r..Y ` —)y3a Is this permit in conjunction with a building permit?(Check appropriate box)Yes ill 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: In/'/lei N 4 . e t GAS Ft)214 4 cde -t AC.. vAn '1-- 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 Devic • Devt ic "e r_ , a' D Swimming Pool:In-Grnd.ElAbove-Gmd.❑ Hot-Tub El No.of Self-Contained Detection/Alering T17 _ No.Oil Burners: No.Gas Burners: Video System ❑ No.of D evic es: No.Air Conditioners: Total Tons: Telecom System❑ No.of(utlets: FEB Q 8 2024 No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devi,;es: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equip nq;t3 I L DI N G DEPARTMENT No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ lthting ____ z_ OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Woo;k:• /).419 . (When required by municipal policy) Date Work to Start: Z'I' Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: 1-44 FI<G G/"f5 EZ.(( -�1 Li C— A-1 ❑or C-1 ❑LIC.No.:2 Master/Systems Licensee: - "oP.b i9. F-//GGoi,V� LIC.No.: }- 13y3 Z Journeyman Licensee: -11:013 A. N/G G#•03 LIC.No.:g*`2,s yS Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 219 •.5OJG /5 5 7 fO -LL�'4'g� I 't4• &Z G 3.�3 Aryl y i (— Email: T. 4. (-1(GG"o5 1.6-e.-1-12-1 C.— 4: . Gv 4.47 Telephone No.:...1 c, )g . 3 Z 6.2 I certify,under the air alties of perjury,that the information on this application is true and complete. Licensee, ' / � Print Name: 1 OAS /4- )4 tG G ill S Cell.No.:6 V V d 37 C 2-13— INSURANCE COVE :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 lame to the permit issuing office. CHECK ONE: INSURANCE4 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❑ Owner/Agent: Tel.No.: Signature: Email.: