HomeMy WebLinkAboutElectrical Permit _BLDE-23-19692 - BLDE-23-19692 20615Check if You Are the Primary Resident Homeowner?
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Is this permit in conjunction with a building permit?
No
Purpose of Building
Commercial
Type of Work - Commercial
New Building
New, Addition, Renovation or Alteration Square Footage
0
Utility Authorization #
4858887
Description of Proposed Electrical Installation
Installation of AT&T small cell on utility pole #19
Estimated Value of Electrical Work $
3500.00
Date Work to Start
10/17/2023
# of Feeders
3
Ampacity
100
No. of Receptable Outlets:
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No. of Switches:
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No. Luminaires:
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No. of Recessed Luminaires:
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No. Appliances:
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Appliances - KW:
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No. Water Heaters:
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Water Heaters - KW:
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Space Heating KW:
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Heating Equipment KW:
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No. Heat Pumps:
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Heat Pump - Total KW:
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Heat Pump - Total Tons:Static Field
Electrical Permit
BLDE-23-19692
Applicant
Bruno Massa 5084150533 bmassa@skylincwireless.com
Location
11 GROVE ST
WEST YARMOUTH, MA 2673
Electrical Information
Electrical Services
Feeders
Fixtures/Equipment Installed
--Swimming Pool:
In-Ground
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Above-Ground
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Hot-Tub
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Static Field
No. Oil Burners:
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No. Gas Burners:
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No. Air Conditioners:
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Air Conditioners - Total Tons:
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No. Energy Storage Systems:
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KWH Storage Rating:
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Solar PV KW DC Rating:
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Solar PV KW AC Rating:
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No. of Modules:
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Roof-Mount
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Ground-Mount
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Generator KW Rating:
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Type:
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No. Wind Generators:
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Wind KW Rating:
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No. Transformers:
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Transformers - Total KVA:
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No. Motors:
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Motors - Total HP:
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Motors - Total KW:
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Fire Alarm System
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Fire Alarm System - No. of Devices:
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No. of Self-Contained Detection/Alerting Devices:
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Video System
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Video System - No. of Devices:
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Telecom System
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Telecom System - No. of Outlets:
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Security System
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Security System - No. of Devices:
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No. of Electric Vehicle Supply Equipment:
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Level 1
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Fixtures/Equipment Installed Cont.
Level 2
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Level 3
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Electric Vehicle Supply Equipment Rating:
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Other (if needed)
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No. of Other
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Electrician's Name
COLIN . SIKORA
Business Name
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License #
22923
License Expiration Date
07/31/2025
License Type
Master Electrician Class A
Status
Current
Type of Business
Corporation
Corporation/Partnership/LLC License #
8579 A1
Mailing Address
DARTMOUTH, MA, 02748
City
DARTMOUTH
State
MA
Zip Code
02748
Preferred Telephone #
5084150533
Alternative Phone #
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Email
MGMT@skylincelectric.com
A-1 or C-1?
A-1
S License Number
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I certify, under the pains and penalties of perjury, that the
information on this application is true and complete.
true
I have current liability insurance / workers' compensation
policy or its substantial equivalent
Yes
Type of Insurance Coverage
Insurance
Are you an employer? Select from the options below.
I am an employer with full and/or part time employees.
Primary Contractor
Insurance
Workers' Compensation Insurance Affidavit
Policy and Job Site Information
Insurance Company Name
James River Insurance company
Policy # or Self-ins License #
001451410
Expiration Date
06/22/2024
I do hereby certify that under the pains and penalties of
perjury that the information provided above is true and
correct.
true
Workers' Compensation Affidavit Signature