HomeMy WebLinkAboutBLDE-24-144 3/4/24, 6:36 AM about:blank
Z` , Commonwealth of Massachusetts of • y-4
* Town of Yarmouth0,
ELECTRICAL PERMIT
Job Address: 102 CONSTANCE AVE Unit:
Owner Name: OSBORNE BRIAN A
Owner's Address: 102 CONSTANCE AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-144
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wire 4 ton Ductless Mini-split 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: 1 Total KW: Total Tons: 4 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: $ 24,800 Work to Start: February 9, 2024
FIRM NAME: A-1 License Number: 3640
Master/System and/or Journeyman Licensee: STEPHAN M WOLFE License Number: 21259
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: 682 EL-A1
Address: Fairhaven, MA, 02719 Fairhaven MA 02719 Fee Paid: $50.00
Email: permits@gemplumbing.com Business Telephone: 401-598-6125
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: IMA, Inc-Colorado
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