HomeMy WebLinkAboutForm for Inspections - BLDE-23-19663 20109Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address:50 WORKSHOP RD Unit:
Owner Name:TOWN OF YARMOUTH
Owner's Address:1146 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19663
Existing Service Amps / Volts Overhead Underground No. of Meters:
New Service Amps / Volts Overhead Underground No. of Meters:
Description of Proposed Electrical Installation: Troubleshoot and make safe power and lighting wiring due to water damage.
Replace (1) control transformer and (2) exit/ebu combo units.
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: 1 Total KVA: 0.25
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 Modules: Roof-Mount Ground-Mount
No. of Electric Vehicle Supply Equipment:
Level 1 Level 2 Level 3 Rating:
Estimated Value of Electrical Work: $ 3,000 Work to Start: October 12, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PAUL J HAMMOND License Number: 11011
Security System Business requires a Division of Occupational Licensure
“S” LIC.License Number:
Address: ATKINSON, NH, 038112733 ATKINSON NH 038112733 Fee Paid: $100.00
Email: sm@hammondelectric.com Business Telephone: 978-210-1847
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: Costello Insurance Group