HomeMy WebLinkAboutElectrical Permit _BLDE-24-130 - BLDE-24-130 35839Check if You Are the Primary Resident Homeowner?
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Is this permit in conjunction with a building permit?
No
Purpose of Building
Residential
Type of Work - Residential
Single Inspection
Description of Proposed Electrical Installation
REPLACEMENT FURNACE
Estimated Value of Electrical Work $
6780.00
Date Work to Start
02/02/2024
No. of Receptable Outlets:
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No. of Switches:
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No. Luminaires:
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No. of Recessed Luminaires:
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No. Appliances:
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Appliances - KW:
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No. Water Heaters:
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Water Heaters - KW:
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Space Heating KW:
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Heating Equipment KW:
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No. Heat Pumps:
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Heat Pump - Total KW:
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Heat Pump - Total Tons:
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Static Field
Swimming Pool:
In-Ground
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Above-Ground
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Hot-Tub
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Static Field
No. Oil Burners:
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No. Gas Burners:
1
No. Air Conditioners:
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Air Conditioners - Total Tons:
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Electrical Permit
BLDE-24-130
Applicant
Richard Melvin 508-394-7778 electrical.inspections@efwinslow.com
Location
1 LAURIES LN
SOUTH YARMOUTH, MA 02664
Electrical Information
Fixtures/Equipment Installed
No. Energy Storage Systems:
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KWH Storage Rating:
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Solar PV KW DC Rating:
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Solar PV KW AC Rating:
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No. of Modules:
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Roof-Mount
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Ground-Mount
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Generator KW Rating:
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Type:
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No. Wind Generators:
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Wind KW Rating:
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No. Transformers:
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Transformers - Total KVA:
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No. Motors:
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Motors - Total HP:
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Motors - Total KW:
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Fire Alarm System
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Fire Alarm System - No. of Devices:
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No. of Self-Contained Detection/Alerting Devices:
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Video System
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Video System - No. of Devices:
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Telecom System
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Telecom System - No. of Outlets:
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Security System
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Security System - No. of Devices:
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No. of Electric Vehicle Supply Equipment:
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Level 1
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Level 2
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Level 3
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Electric Vehicle Supply Equipment Rating:
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Other (if needed)
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No. of Other
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Electrician's Name Business Name
Fixtures/Equipment Installed Cont.
Primary Contractor
RICH M MELVIN --
License #
21829
License Expiration Date
07/31/2025
License Type
Master Electrician Class A
Status
Current
Type of Business
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Corporation/Partnership/LLC License #
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Mailing Address
South Yarmouth, MA, 026641207
City
South Yarmouth
State
MA
Zip Code
026641207
Preferred Telephone #
5085421160
Alternative Phone #
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Email
electrical.inspections@efwinslow.com
A-1 or C-1?
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S License Number
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I certify, under the pains and penalties of perjury, that the
information on this application is true and complete.
true
I have current liability insurance / workers' compensation
policy or its substantial equivalent
Yes
Type of Insurance Coverage
Insurance
Are you an employer? Select from the options below.
I am an employer with full and/or part time employees.
Insurance Company Name
ARROW MUTUAL
Policy # or Self-ins License #
2036A
Expiration Date
01/01/2025
I do hereby certify that under the pains and penalties of
perjury that the information provided above is true and
correct.
true
Insurance
Workers' Compensation Insurance Affidavit
Policy and Job Site Information
Workers' Compensation Affidavit Signature