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HomeMy WebLinkAboutBLDE-24-27 1/8/24,3:15 PM \\(/.�1 , about:blank Commonwealth of Massachusetts ©v • 'VA.?? *4 Town of Yarmouth E p , 1 F-1, ELECTRICAL PERMIT Job Address: 129 LEWIS RD Unit: Owner Name: BUCKLEY MAUREEN L Owner's Address: PO BOX 782 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-27 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: Water Heater Replace 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: 1 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 El 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 El Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,000 Work to Start: January 9, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: MATTHEW KANE License Number: 55328 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: SOUTH YARMOUTH, MA, 02664 SOUTH YARMOUTH MA 02664 Fee Paid: $50.00 Email: mariah@seasidegasservice.com Business Telephone: 508-771-2768 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: ,44,_ 2 ( 2)-( � - 2(2 about:blank 1/1