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HomeMy WebLinkAboutBLDE-23-16014 6/12/23,8:15 AM about:blank Commonwealth of Massachusetts . •Y� °. , * Town of Yarmouth c. ELECTRICAL PERMIT ,aAw9 { . Job Address: 26 MISTY LN Unit: Owner Name: SABINA-CROSSEN VICKI Owner's Address: 26 MISTY LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-16014 Existing Service Amps/Volts Overhead ❑ Underground 0 No.of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Adding a Laundry inside a bathroom, replacing Bath exhaust fan only. No.of Receptacle Outlets: 2 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 0 No.of Devices: Swimming Pool: In-Grnd.0 Above-Grnd.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 ❑ 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 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 2,300 Work to Start-dtl 3 0(2-)23 FIRM NAME: License Num er: Master/System and/or Journeyman Licensee: RENATO CAMPOS License Number: 23451 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: BILLERICA, MA, 01821 BILLERICA MA 01821 Fee Paid: $75.00 Email: raycelectrical@gmail.com Business Telephone: 8574178061 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: BIBERK INSURANCE '4 .'..f it Q6,41,3 Lr (eArti' pm/44"mq ( y e L a-- a-( pw.4._ 7 z4 /23 of 1/1 about:blank 7/20/23,2:52 PM about:blank Commonwealth of Massachusetts og • Y � � a * Town of Yarmouth oz - ,�r+� e t �� rC kitt, ELECTRICAL PERMIT Job Address: 26 MISTY LN Unit: Owner Name: SABINA-CROSSEN VICKI Owner's Address: 26 MISTY LN Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-16014 Existing Service Amps/Volts Overhead ❑ Underground ❑ No.of Meters: New Service Amps/Volts Overhead❑ Underground 0 No.of Meters: Description of Proposed Electrical Installation: Adding a Laundry inside a bathroom, replacing Bath exhaust fan only. No.of Receptacle Outlets: 2 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 Cl Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 2,300 Work to Start: June 9, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: RENATO CAMPOS License Number: 23451 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: BILLERICA, MA, 01821 BILLERICA MA 01821 Fee Paid: $75.00 Email: raycelectrical@gmail.com Business Telephone: 8574178061 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: BIBERK INSURANCE t '\--6 k 73 about:blank 1/1