HomeMy WebLinkAboutForm for Inspections - BLDE-23-19948 27301Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address:44 CONSTANCE AVE Unit:
Owner Name:GAUTHIER RANDOLPH
Owner's Address:44 CONSTANCE AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19948
Existing Service Amps / Volts Overhead Underground No. of Meters:
New Service Amps / Volts Overhead Underground No. of Meters:
Description of Proposed Electrical Installation: Heat pumps
No. of Receptacle Outlets: 1 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 Modules: Roof-Mount Ground-Mount
No. of Electric Vehicle Supply Equipment:
Level 1 Level 2 Level 3 Rating:
Estimated Value of Electrical Work: $ 1,400 Work to Start: November 30, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOHN MARA License Number: 58035
Security System Business requires a Division of Occupational Licensure
“S” LIC.License Number:
Address: WEST YARMOUTH, MA, 02673 WEST YARMOUTH MA 02673 Fee Paid: $75.00
Email: mara.john.r@gmail.com Business Telephone: 339-927-7596
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: