HomeMy WebLinkAboutBLDE-23-19432 9/1/23, 12:51 PM about:blank
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Commonwealth of Massachusetts /of ':
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Town of Yarmouth a�
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ELECTRICAL PERMIT `; f
Job Address: 110 CAPT CHASE RD Unit:
Owner Name: VENIOS CONSTANCE M VENIOS KIKI
Owner's Address: 83 CUMBERLAND RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19432
Existing Service Amps/Volts Overhead El Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: GENERAC 22KW WHOLE HOUSE GENERATOR
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: 22 Type: GENERAC WHOLE
HOUSE GENERATOR
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 El 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❑ Level 1 ❑ Level 2❑ Level 3 El Rating:
Estimated Value of Electrical Work: $ 13,355 Work to Start: September 19, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RICH M MELVIN 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: electrical.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
WS (6(IC( (TT —_
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