HomeMy WebLinkAboutBLDE-24-802 5/20/24,7:23 AM about:blank
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ELECTRICAL PERMIT � " ,'11,
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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-24-802
Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Service upgrade, wire addition, heat pump, smoke detectors Etc.
No.of Receptacle Outlets: 20 No.of Switches: 10 Generator KW Rating: Type:
No.Luminaires: 7 No.of Recessed Luminaires: 18 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 0 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: $ 25,000 Work to Start: May 16, 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 ,OZia Uset�O°n.2
►� .— Permit No.: e
€4, 't Department of Fire Services Occupancy and Fee Checked:
C-SM----qi BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
="6 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:
To the Inspector of Wires: By this ap lication,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 3 Sui"-" er" 5 tr Unit No.:
Owner or Tenant: W I'II/..t. Rvbr ,v P 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: ti3Ov." . Utility Authorization No.:
Existing Service: t 00 Amps 120/ Z`fc.Volts Overhead[Underground❑ No. of Meters: I
New Service: 2 -' Amps t w/ pi()Volts Overhead[' Underground ❑ No. of Meters: t
Description of Proposed Electrical Installation: Sefvtte up l c s je, . ba;is n,e adol,Av". 1o1 . .
g�Vol* ,Yrk�I 1,e14.sr.cakb44trl\leva'4 ; 2.41)00c C�.f42-6'1fhYPdv►. tP1110 cicACCJfOC tpci osie lit/
Completion of the following table may be waived by the Inspector of Wires. V
No.of Receptable Outlets: 2u No.of Switches: 1 6 Generator KW Rating: Type:
No.Luminaires: 7 No.of Recessed Luminaires: 1 6 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. E 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❑ 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 Supply E uiRleir. C - " D
No. of Modules: Roof-Mount D Ground-Mount El Level I ❑ Level 2 0 Level 3 I Ra"ng:. 7-...__. ..V__.__._
OTHER:
t MAY 16 2024
Attach additional detail if desired, or as,r�eqguired by the Inspector of Wires. _
Estimated Value of Electrical Work: LJ d OC' (When required }��fltrn�d��d'I tp�6li7 M ENT
Date Work to Start: 5- )b -2.1 Inspectionsi to be requested in accordance with ME Rule 10,and upon completion.
FIRM NAME: t V
C itle Nbe iy,v k t�)ec*i C.Zv A-1 ❑ or C-1 ❑ LIC. No.: /�
Master/Systems Licensee: S I tihQ"t 7� LIC. No.: ZZ71'4 -A
Journeyman Licensee: i j s O'\ 1 iv\24 LIC.No.: 5 3O2 5 13
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address: _29 C6n ‘t C.
6.,..,I W(� dh e CC►4).CVO lie Al A 026 3 Z
Email: Pie he;/ Doc 64- 6 ".1 I iCi on L10EGj►ti►k.i. Cc/'N. _ Telephone No.: l 7 7 ' q9 te- 02..-sc
I certify,and r the pains and penalties of perjury,that the in ormation on this application is true and complete.
Licensee: Print Name: )t '12.)N lk Cell.No.: 77ei 99y O SS
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 sa a to the permit issuing office.
CHECK ONE: INSURANCE [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.: