HomeMy WebLinkAboutBLDE-23-15956 5/30/23,3:59 PM about:blank
Commonwealth of Massachusetts bt-Y4
Town of Yarmouth �y
ELECTRICAL PERMIT `
Job Address: 5 JOHN HALLS CARTPATH VILL Unit:
Owner Name: MESELSON SARAH PAGE
Owner's Address: 5 JOHN HALLS CARTPATH VILL Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15956
Existing Service Amps 200/200 Volts Overhead ❑ Underground M No. of Meters: 1
New Service Amps 0/0 Volts Overhead 0 Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: one old work receptacle outlet for gas fireplace blower- 1 inspection needed for
residential
No.of Receptacle Outlets: 1 No.of Switches: 0 Generator KW Rating: 0 Type: 0
No. Luminaires: 0 No.of Recessed Luminaires: 0 No.Wind Generators: 0 Wind KW Rating: 0
No.Appliances: 0 KW: 0 No.Water Heaters: 0 KW: 0 No.Transformers: 0 Total KVA: 0
Space Heating KW: 0 Heating Equipment KW: 0 No.Motors: 0 Total HP: 0 Total KW: 0
No. Heat Pumps: 0 Total KW: 0 Total Tons: 0 Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: 0 No.Gas Burners: 0 Video System ❑ No.of Devices: 0
No.Air Conditioners: 0 Total Tons: 0 Telecom System ❑ No.of Outlets: 0
No. Energy Storage Systems: 0 KWH Storage Rating: 0 Security System ❑ No.of Devices: 0
Solar PV KW DC Rating: 0 Solar PV KW AC Rating: 0 No.of Electric Vehicle Supply Equipment: 0
No.of Modules: 0 Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $400 Work to Start: May 31, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KEVIN A CRONIN License Number: 24178
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S Yarmouth, MA, 02664 S Yarmouth MA 02664 Fee Paid: $50.00
Email: kacelectrician@outlook.com Business Telephone: 781-812-5579
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:
c ( —z.--3 c
about:blank
1/1