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HomeMy WebLinkAboutBLDE-23-15899 6/5/23,6:59 AM about:blank � �� � Commonwealth of Massachusetts , g : 44 * Town of Yarmouth „� � 4 ` 4. ELECTRICAL PERMIT sx ¢gyry Job Address: 16 ANDRINA RD Unit: Owner Name: BALCOM KEVIN A BALCOM KATHLEEN M Owner's Address: 810 ADAMS ST Phone: 774-217-2994 Email: Purpose of Building Residential Utility Authorization No.: TBD Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-15899 Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters: New Service Amps 120/240 Volts Overhead PA Underground El No. of Meters: 1 Description of Proposed Electrical Installation: wiring\new 1-200 amp serivce of detached garage w\living space above No.of Receptacle Outlets: 27 No.of Switches: 30 Generator KW Rating: Type: No. Luminaires: 5 No.of Recessed Luminaires: 22 No.Wind Generators: Wind KW Rating: No.Appliances: 3 KW: No.Water Heaters: 1 KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: fINo.Heat Pumps: Total KW: 1 Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool: ln-Grnd.❑ Above-Grnd.0 Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System El No.of Devices: No.Air Conditioners: 1 Total Tons: Telecom System ❑ No.of Outlets: r No. Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: i. Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: 1 No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 El Level 2© Level 3 El Rating: Estimated Value of Electrical Work: $ 17,000 Work to Start: May 22, 2023 FIRM NAME: A-1 License Number: Master/System and/or Journeyman Licensee: CHRISTOPHER D BURNS License Number: 780 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: BEDFORD, NH, 031106035 BEDFORD NH 031106035 Email: nicole@levasseurelec.com Business Telephone: 603-627-6270 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. 46 INSURANCE: Selective Insurance Company 40 i 3 I 2. L4 g 4'3 ccc 4 cC-c-LoLL qs(z3 k q<Lsoz-, t,1743 g__ 66....)s .4.,f) (A - ,lit c= :Le 1B.t A' / c \JQ-L `i1i/ ' about:blank 1/1