HomeMy WebLinkAboutBLDE-24-33 expired '4. 3:55 PM about:blank
•
Commonwealth of Massachusetts �oF �y `
* Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 6 STABLE LN Unit:
Owner Name: FAHY PATRICK J FAHY ELEANOR P
Owner's Address: 6 STABLE LANE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-33
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Install generator
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-Grad.❑ 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 El 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: January 8, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: LEON KNIGHT License Number: 20979
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BREWSTER, MA, 026312061 BREWSTER MA 026312061 Fee Paid: $75.00
Email: leon@knightelectricma.com Business Telephone: 508-896-3748
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:
•
-1-74‘61/ C-CINDuir t c(-2-4
94t4-- (Pity 0,6 /1c c v er2 S D12)-1.49 Z t r g /u/
113
[EK17_)11}
1 D
/q1
about:blank 1/1
Azirv-kcA i I 1 rt S I.o(C V es .
.ECEIVED
Commonwealth of Massachusetts Official Use Onl
i J,r=-'= ==tc 24 Permit No.: �j2�i3
t.,-,7*-..- .6', Department of Fire Services Occupancy and Fee Checked:
au+i u ►_-_' •�aO 9 OF FIRE PREVENTION REGULATIONS [Rev. I/2023]
t
""=�' A ' ' LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 MR•12.00
City or Town of: YA R M O UTH_ Date: / 53' 7/1--
To the Inspector of Wires:By this app cation,the,unders gn d gives notic s of his or her intention to perform the elect al work escribed below.
Location(Street&Number)) e a-42 -€ Unit No.:
Owner or Tenant: tiCtri ' - eel Email:
Owner's Address: / Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes ❑ 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:
7reM Lk J2d //26-*T y e /--
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 IIP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd. D Hot-Tub❑ 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 0 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 D Ground-Mount❑ Level I ❑ Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Date Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: ,` /al— t��G�r`�GC`(/) A-1 0 or C-1 0 LIC.No.:
Master/Systems License 2-e62 9 1<nl,Lit LIC.No.: 4 7...O ! 7 7
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC S-LIC.No.: U —�9
Address: ( I"`secaa C/- 2 6)
Email: /'eon die, l re_ e Pi o Telephone No.: ' 69
I certify, under the pain d penalties of perjury,that the information on his application is true and complete.
Licensee: Print Name: ,L ea n /Cry< Wt Cell. No.: 7 7 7 22 3 / -?
INSURANC C AGE: Unless waived by the owner,no permit for the perform tt a 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 0 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.:
C
v,,