HomeMy WebLinkAboutBLDE-23-20045 12/18/23,2:50 PM about:blank
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ELECTRICAL PERMIT
Job Address: 76 SPRINGER LN Unit:
Owner Name: FABIO MARY ROSE
Owner's Address: 11 BRAE BURN RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-20045
Existing Service Amps 100/240 Volts Overhead❑ Underground❑ No. of Meters: 1
New Service Amps 200/240 Volts Overhead MI Underground❑ No. of Meters: 1
Description of Proposed Electrical Installation: Wiring of new kitchen and dining area. Installation of new 200A overhead
service.
No.of Receptacle Outlets: 14 No.of Switches: 8 Generator KW Rating: Type:
No.Luminaires: 2 No.of Recessed Luminaires: 8 No.Wind Generators: Wind KW Rating:
No.Appliances: 3 KW: 9 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: $ 10,000 Work to Start: December 15, 2023
FIRM NAME: License Number: A22145
Master/System and/or Journeyman Licensee: JESSE RANDALL OTIS License Number: 22145
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BREWSTER, MA, 026311979 BREWSTER MA 026311979 Fee Paid: $75.00
Email: Jesseotis@icloud.com Business Telephone: 5082378156
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 insurance
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