HomeMy WebLinkAboutBLDE-23-19068 7/6/23,2:38 PM about:blank
Ce Commonwealth of Massachusetts o YA '�
* ,icl Town of Yarmouth
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t ELECTRICAL PERMIT ,n � ;
Job Address: 11 SNOW BROOK RD Unit:
Owner Name: BAKER HELENE S
Owner's Address: 11 SNOW BROOK RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19068
Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: AC INSTALL FOR THE 1ST FLOOR
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 El No.of Devices:
No.Air Conditioners: 1 Total Tons: Telecom System El No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System Cl 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 El Level 2 El Level 3❑ Rating:
Estimated Value of Electrical Work: $ 7,850 Work to Start: July 20, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RICH M MELVIN License Number: 21829
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: South Yarmouth, MA, 026641207 South Yarmouth MA 026641207 Fee Paid: $50.00
Email: electrical.inspections@efwinslow.com Business Telephone: 5085421160
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: ARROW MUTUAL
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