HomeMy WebLinkAboutBLDE-24-36 1/10/24,6:50 AM about:blank
,. v Commonwealth of Massachusetts o ' yA4
Town of Yarmouth , y
ELECTRICAL PERMIT `
Job Address: 579 WEST YARMOUTH RD Unit: :motto-7-f-1 CK 0- PA S 'IL(Q}
Owner Name: E
Owner's Address: 579 WEST YARMOUTH RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 16007173
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-36
Existing Service Amps I Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps 200/Volts Overhead 12 Underground❑ No. of Meters: 1
Description of Proposed Electrical Installation: Remodel kitchen, bathroom & basement. Upgrade service & HVAC
replacement.
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: 1 Video System ❑ No.of Devices:
No.Air Conditioners: 1 Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System El 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: MATTHEW KANE License Number: 55328
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 35 Harvard Street South Yarmouth MA 02664 Fee Paid: $75.00
Email: mattykane616( yahoo.com Business Telephone: 774-994-7370
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((2 (
1/1
about:blank
— 1
RECEIVED
1 ommonwealth of Massachusetts Official Use Only
'• =_.- =---= Permit No.: C-Z-`-� —3
7MI— Department of Fire Services Occupancy and Fee Checked:
r -1=
BUILD.,-«_ Fn OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
By — - • _ _' ICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CM,R 12.00
City or Town of: YARMOUTH_ Date: //9 '/
To the Inspector of Wires: By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): S7 ci West Yurmcv4-h Rc c<d Unit No.:
Owner or Tenant: Timcli+y CheiPai/4 le 0 Email:
Owner's Address: 5 by' Wc'sf Yitcimce_/i' eel Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes ❑ No ❑ Permit No.:
Purpose of Building: A'S'derti///l Utility Authorization No.: /66 07/7,3 Wu;K order lt
Existing Service: /00 Amps /Au / 3110 Volts Overhead[Vj Underground❑ No. of Meters: /
New Service: do v Amps /9u / 3V1) Volts Overhead EKUnderground❑ No. of Meters:
Description of Proposed Electrical Installation: /11 sfcheri /8c-1h roc s �1,jwe✓rien4- re,'n.Ac.i /
& /er rep lc(9me/to/OYeihe4c/ SPiviee chclie /A& ivit,oi
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 I-IP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.0 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:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Elect is 1 Work: (When required by municipal policy)
Date Work to Start: / YR/ Inspections to be requested in accordance with MEC Rule 10, and upon completion.
FIRM NAME: /1441,YhetN I(une A-1 0 or C-1 ❑ LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: 7Y1 a>µhew /Cc+n e LIC.No.: S5 3't e 13
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 33 7at✓srcl S*
Email: ty7Afly'kGne6&&74hco.c6;- Telephone No.: 774-999-7370
I certify,under the pains and penalties of perjury, that the information on this application is true and complete.
Licensee: ,47c z/?ew /n„t Print Name: Ma/hew /6/1-G Cell.No.: 77y-f4 /-7370
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 same 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.:
+��Jl q0'NAi.