HomeMy WebLinkAboutBLDE-23-19894 11/28/23,5:59AM about:blank
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ELECTRICAL PERMIT
Job Address: 37 PEBBLE BEACH WAY Unit:
Owner Name: DUNDERDALE LISA L
Owner's Address: 122 DEERFOOT RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19894
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead El Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Installed old work wiring for one switch and two receptacles
No.of Receptacle Outlets: 2 No.of Switches: 1 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❑ Ground-Mount El Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: November 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: FRANK M KODZIS License Number: 10715
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: DORCHESTER, MA, 021223619 DORCHESTER MA 021223619 Fee Paid: $50.00
Email: fkodzis@gmail.com Business Telephone: 617-448-8467
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:
(3e(Z./(. l Z i 27
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