HomeMy WebLinkAboutBLDE-24-1216 8/8/24,8:41 AM about:blank
Commonwealth of Massachusetts (NI YA� �
* Town of Yarmouth . , ` °�
ELECTRICAL PERMIT s feMA "`E;b,s9
ORAT
Job Address: 48 WITCHWOOD RD Unit:
Owner Name: WELCH JAMES M JR
Owner's Address: 48 WITCHWOOD RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-1216
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Replace panel in house &&wire detatched garage. Under ground pipe run &
UFER grounding.
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❑ 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: August 8, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT J CARREIRO License Number: 19861
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S YARMOUTH, MA, 026641976 S YARMOUTH MA 026641976 Fee Paid: $75.00
Email: carreiro.electric@yahoo.com Business Telephone: 508-280-0537
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 MassachusettsS]5i�u_e o?lyu/
Permit No.. (P
Department of Fire Services Occupancy and Fee Checked:
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023]
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: S--y„/,.z4
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrfcal,dock described below.
Location(Street&Number): ¢r Unit No.:
Owner or Tenant: J A.YFS 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: /�f3i yerr�irL- Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
.. Description of Proposed Electrical Installation: 'Fe P<d{r tXI S`7✓G/ Pfl'e LJiac A4 .-'
�cs�AcFFl� '.G,r,rACE'd-Su 4-Pa A.)e,C
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 HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grad.❑ Above-Grad.0 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 0 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 0 Level 1❑ Level 2❑ Level 3 D 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:J� Inspections to be requested in accordance with MEC Rulele 10,and upon completion.
FIRM NAME: /7QAr7t�.1. t9ARxri,ea A-`1.csrirtc,AxJ A-1❑orC-11y-I,IC.No.: Flg.F-6/
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: 77Z0E,e r J. GrAgxei,eo LIC.No.: /9PC
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: f O. ygox /o'74 S- /.fertovvw NA ozGG4
Email: Lr p lAri fo .ift-c'erx 2D yiNoo. Co wt Telephone No.: 521Q--394--3339
I certify,under the ins and p aides of perjury,that the information on this application is true and complete.
• Licensee: >/� Print Name: 'Z,ge,sr-J. eARRe=„eo Cell.No.:.�d&-�F-,9 7
INSURAN E COVE GE: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 qt4itne to the permit issuing office.
CHECK ONE: INSURANCE rig 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.: