HomeMy WebLinkAboutBLDE-23-18950 6/16/23, 1:02 PM about:blank
vkCommonwealth of Massachusetts ov -4.,c).
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ELECTRICAL PERMIT ��' ° �'
Job Address: 190 BLUE ROCK RD Unit:
Owner Name: LAPLANTE MARC E LAPLANTE KELLY A
Owner's Address: 9 RUSSELL CT Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18950
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Kitchen remodel: rewiring kitchen, small appliance, diswasher, stove -Old Work
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: 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $2,400 Work to Start: June 13, 2023
FIRM NAME: License Number: 04-2649560
Master/System and/or Journeyman Licensee: GLENN W CRAFTS License Number: 10020
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: South Dennis, MA, 026602920 South Dennis MA 026602920 Fee Paid: $50.00
Email: gccustombuilders@comcast.net Business Telephone: 5082465555
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: Travelers
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