HomeMy WebLinkAboutForm for Inspections - BLDE-23-19692 21925Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address:11 GROVE ST Unit:
Owner Name:QUINLAN DONALD F (LIFE EST) QUINLAN PATRICIA A (LIFE EST)
Owner's Address:11 GROVE ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.: 4858887
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19692
Existing Service Amps / Volts Overhead Underground No. of Meters:
New Service Amps / Volts Overhead Underground No. of Meters:
Description of Proposed Electrical Installation: Installation of AT&T small cell on utility pole #19
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 Modules: Roof-Mount Ground-Mount
No. of Electric Vehicle Supply Equipment:
Level 1 Level 2 Level 3 Rating:
Estimated Value of Electrical Work: $ 3,500 Work to Start: October 17, 2023
FIRM NAME: A-1 License Number: 8579 A1
Master/System and/or Journeyman Licensee: COLIN . SIKORA License Number: 22923
Security System Business requires a Division of Occupational Licensure
“S” LIC.License Number:
Address: DARTMOUTH, MA, 02748 DARTMOUTH MA 02748 Fee Paid: $80.00
Email: MGMT@skylincelectric.com Business Telephone: 5084150533
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: James River Insurance company