HomeMy WebLinkAboutBLDE-23-19745 10/27/23, 12:47 PM about:blank
Commonwealth of Massachusetts of • yA.,c)
*�+ Town of Yarmout 'ifh
IC
ELECTRICAL PERMIT
Job Address: 24 WHARF LN Unit:
Owner Name: LOWNEY DONNA
Owner's Address: 24 WHARF LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19745
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: outlets, smoke detectors, luminaries
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: 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 O Ground-Mount❑ Level 1 0 Level 2❑ Level 3 0 Rating:
Estimated Value of Electrical Work: $ 300 Work to Start: October 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: License Number:
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Fee Paid: $75.00
Email: Business Telephone:
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:
1617/ C6_ paces nor Mac Up 'or e :i pc)
V‹cam, cif l-2 3 C (s.44.-ezz GA 4.6010 5 ot,) PN 0
about:blank 1/1
�, Coe,nonu..aAh o`Ma '/ d Official Use Only [�
—L ', cc77)� cc77 Permit No. De'- 73191 7 S
H a .1Jeparlmuni tinier Serviced
Occupancy and Fee Checked
�. BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
p APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
"I All work to be performed in acco dance with the Massachusetts Electrical Code( EC),5 7 CMR 12.00
‘34
J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Jo(a-'j�c4-o.13
City or Town of: Yf}f� u u To the Inspector of Wires.
By this application the undersigned gives notice of his r intention to perform the electrical work described below.
N Location(Street&Number) Li iA) v ( ..,-e
7 Owner or Tenant 7)0 rt et ck-rnLa u:lei el Telephone No.y(3 S�S.2 I i 3
2 Owner's Address ,2� (A.k-r h ✓ \Pr~-v wt 4,t-
Is this permit In conjunction a b permit? Yess No ❑ (Check Appropriate Box)
Purpose of Building 1 1 sv 1✓tnS Sec.ULe/ Utility Authorization No. rr�� Y
EsisWg Service Amps / Volt Overhead❑ RU ge m �/1vlwoP.i rs
New Service Amps / Volts Overhead❑ rUndgrd❑ No.o M n �µ t
Number of Feeders and Ampadty OCT 2.6 2023
Locadoo and Nature ofPropa Proposed Work: /o/F
esB p L RTM 0
,,,
Completion of the table nray be waived by the Inspector of Wires.
U) No.of Recessed Luminaires No.of CeLL-Snap.(Paddle)Fans T r.of nmtormers KVAVA
CINo.of Luminaire Outlets No.of Hot Tubs 0 Generators KVA Q
No.of[ominalta Swimming Pool Above ❑ In- ro.of Emergency Lighting (�grad fun Battery Unit
2 No.of Receptacle Outlet •No.of OH Burners 6 FIRE ALARMS No.of Zones n, Cik
of Detection and
Z. No.of Switches No.of Gas Burners No Initiating Devices ��`
11.1 No.of Ranges D No.of Air Cond. C-/Ton No.of Alerting Devices
No.of Waste Disposers C/�)� Hen P Number Toffs.........KW N�o d- ontaised
Totals: Iertln
e_Devices
No.of Dishwashers (� Space/Ara Heating KW Local 0 0 Other
Mesa
Coanectlon
No.of Dryers 0 Renting Appliances Security S
G KW No.of as or Equivalent
No.of Water 0 -No.of c No.of Data Wiring:
Herten Signs ( )Best No.of Devices or Equivalent
No.Hydromassage Bathtubs 0 .No.of Motors i Total HP TelecommunicationsNor gplvaWirinL
ee /I No.ofn Devices Equivalent
g OTHER: Ov-rC_E t C / Sivto Lee c 1rc Lr s I Luw�t r7.c-`r r e-S KW (0� -4i
Attach additional detail iifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical W t:+3 0 U (When required by municipal policy.)
Work to Start et-SVCI Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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.
CHECK ONE: INSURANCE❑ BOND 0 OTHER❑ (Specify:)
I certify,under the pains and penalties of perjury,that the informs& on this application is true and complete
FIRM NAME: c iI j LIC.NO.:
Licensee: J L/ LIC.NO.:
Of applicable,enter"exempt"in the license number!' .J Bus.Tel.No..
Address: Alt.Tel.No.:
•Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWN ' - SURAN e' AIVER: I am aware that the Licensee does not have the liability insurance coverage normally
requi ..by la `y . below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owne/ -t (35 �S�//�
Sigma ; Telephone No. PERMIT FEE:$
10 _