HomeMy WebLinkAboutBLDE-23-19731 10/24/23,2:13 PM
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°= Commonwealth of Massachusetts oY ' 1'4
w. . il
Town of Yarmouth
,, ,,, ELECTRICAL PERMIT l
Job Address: 174 CAPT NOYES RD Unit:
Owner Name: SIAMOS FAMILY IRREVOCABLE TRUST
Owner's Address: 174 CAPT NOYES RD Phone:
Purpose of Email:
Building Residential
Is this permit in conjunction with a buildin Utility Authorization No.:
g permit. No Permit Number: BLDE-23-19731
Existing Service Amps/Volts
Overhead❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑
Description of Proposed Electrical Installation: install replacement gas furnace NO of Meters:
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: 1 Video System ❑
y No.of Devices:
No.Air Conditioners: Total Tons:
Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑
Solar PV KW DC Ratin No.of Devices:
9: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: - Roof-Mount❑ Ground-Mount LI
Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 7,500
FIRM NAME: Work to Start: October 31, 2023
Master/System and/or Journeyman Licensee: RICH M MELVIN License Number:
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: inspections@efwinslow.com Business Telephone: 5083947778
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 INSURANCE COMPANY
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