HomeMy WebLinkAboutBLDE-24-429 3/18/24,4:46 PM about:blank
- \ Commonwealth of Massachusetts . Y ,
*jit Town of Yarmouth
47
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I O y
ELECTRICAL PERMIT t
Job Address: 45 WILLIAMS RD Unit:
Owner Name: MURRAY JOHN
Owner's Address: 6 WOLCOTT RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-429
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Work done in garage area without permits or inspections.
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-Grnd.❑ Above-Grnd.❑ Hot Tub El 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: $ 0 Work to Start: March 18, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: EDWARD M LYNCH License Number: 35609
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST YARMOUTH, MA, 026733818 WEST YARMOUTH MA
026733818 Fee Paid: $250.00
Email: pinchcalllynch@icloud.com Business Telephone: 774208-8338
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 o eial se o f
251
Permit No.:
t, TVt !t Department of Fire Services Occupancy and Fee Checked:
p el= BOARD OF FIRE PREVENTION REGULATIONS 1
":,= _— Rev. I/2023
'. `s# APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 MR 2.00
City or Town of: YARMOUTH _ • Date: 3 1 9
To the Inspector of Wires: By this application,the u ersigned gives not. s of his r her intention to perform the electri al work escribed below.
Location(Street&Number): 4 'r'l 5 (pa( Unit No.:
Owner or Tenant: To n4 a(/4 Email:
Owner's Address: 5-(741/e Phone No.:
Is this permit in conjunctio with a b ilding permit?(Check appropriate box)Yes❑ No ❑ Permit No.:
� /1 Purpose of Building: e Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground/_ ❑ o. of Meters:
Description of Proposed Electrical Installation: Had it'/'er �4-e ( U 4/'�/ ' gmli
_g_e_141 --/-*((9614 of 1 pfr/ cc� . c o Glee
Completion q 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 HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No. of Devices:
Swimming Pool: In-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❑ 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 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: A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: Ward t dC 1 LIC.No.: 3p 9
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.: I
Address: '� �/v' q/ �V �.4.e• UC/' Ql/iit'S(ir, /74,
Email: �yy� ^7
Pf '7 /7fgff(y4c/7 / i4', ����� _ Telephone No.: /
I certify,and he pains d enalties perjury,that the in ormati of this appli ation is true and complete.
Licensee: Print Name: cl--(739s7-��C Cell.No.:77 ��� .
INSURA COV RA : U ess waived by the owner,no permit for the perf6rmance 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 El OTHER❑ Specify:
OWNER'S INSURANCE W IVER: 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 0
Owner/Agent: Tel.No.:
Signature:_ Email.: