HomeMy WebLinkAboutBLDE-24-314 2/29/24,7:55AM about:blank
Commonwealth of Massachusetts of •, y
Town of Yarmouth �.,�
ELECTRICAL PERMIT A`� �'
Job Address: 528 FOREST RD Unit:
Owner Name: TOWN OF YARMOUTH SENIOR CTR
Owner's Address: 1146 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-314
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Install two strobe only's in the men's and ladies bathrooms and two horn strobes
in the basement to the existing system.
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 M No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd. ❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 4
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 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $4,200 Work to Start: March 4, 2024
FIRM NAME: A-1 License Number: 479
Master/System and/or Journeyman Licensee: BRIAN REZENDES License Number: 22213
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: PLYMOUTH, MA, 02360 PLYMOUTH MA 02360 Fee Paid: $80.00
Email:joel.zimmerman@alarmnewengland.com Business Telephone: 860-616-7548
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: Selective Insurance Company of South Carolina
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