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*4 Town of Yarmouth
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ELECTRICAL PERMIT .se'� rAC
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Job Address: :33 SUMMER ST Unit:
Owner Name: WEATHERLEY-MACPHEE IRINA S
Owner's Address: 33 SUMMER ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.•
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24 6 --
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: New service & remodel house (Per attached)
No.of Receptacle Outlets: 30 No.of Switches: 11 Generator KW Rating: Type:
No.Luminaires: 9 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: --otal KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnc.❑ 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: $ 26,500 Work to Start: April 23, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: SIMON BABA License Number: 22714
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CENTERVILLE, MA, 02632 CENTERVILLE MA 02632 Fee Paid: $75.00
Email: theneighborhoodelectricianllc@gmail.com Business Telephone: 774-994-0255
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 Onl
*_. Permit No.: 7�— �
I . - t 1._ Department of Fire Services Occupancy and Fee Checked:
-=;`�l ,o BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
..-.4' 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: 4.2,E "24
To the Inspector of Wires: By this app4cation,the undersigned gives notices of his or her intention to perform the electrical work described below
Location(Street&Number): 35 Si_prn*iG( 5,:1-- Unit No.:
Owner or Tenant: Email: AJtdh l k tic. 'r j]tMri
Owner's Address: Phone No.: L'a�
Is this permit in conjunction with a building permit?(Check appropriate box)Yes 2r No❑ Permit No.:
Purpose of Building: ►tQ"1't Utility Authorization No.:
Existing Service: 1 00 Amps I2p / 79 'olts Overhead"Underground❑ No. of Meters: t
New Service: 2.Oc/ Amps 12.C/ /211i Volts Overhead- eeCT-Underground ❑ No. of Meters: l
Description of Proposed Electrical Installation: �v Ovof 1iei .t 5efv,L e ri.emmitei of Grup 'i 11411 o*
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Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: 1 i Generator KW Rating: Type:
No.Luminaires: if. No.of Recessed Luminaires: Cl 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.0 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 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Stap ..I3Eq t g, - D
El
No. of Modules: Roof-Mount 0 Ground-Mount Level I Level 2 `are at
OTHER:
APR 24 2024
Attach additional detail if desired, or as required by the Inspector of Wires. _ _
Estimated Value of Electrical Work: Z (When e l-W 4ti ihl't 'l 6IIL
Date Work to Start: C{-2 3- 2 q" QInspections to be requested in accordance wt u e 1 U, ano upon t mpletion.
FIRM NAME: ,lei ,( r�pp(J� (:l 1G t� A-1 0 or C-1 ❑ LIC.No.:
Master/Systems Licensee: 5tmat 13443S LIC.No.: 2.27 t'(4
Journeyman Licensee: cjj 41011 5.491A LIC. No.: G 3U25- e
Security System Business requires a_Division of Occupational Licensure` "S"LIC. S-LIC.No.:
Address: 2'7 Cc p C LAYA �a(awe. C'rr tNlie �4 O2t 32
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Email:fi`1G A �ti1 (' ItIQOcO I` ae 4 1 h(./LCo 4;J•CUh _ Telephone No.: 71ti 9 9ry 02,5
I certify,under the pains and penalties of perjury,that the i'f ormation this application is true and complete. 'c
Licensee: SIIMQvN 121/4 Print Name•(�p4- % n--� Cell. No.:7T y•994102SS
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 s me to the permit issuing office.
CHECK ONE: INSURANCE lel BOND ❑ OTHER 0 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.:
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