HomeMy WebLinkAboutBLDE-24-851 5/30/24,6:07 AM about:blank
Commonwealth of Massachusetts 0F • yA ,
*4; Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 18 ANCHORAGE LN Unit:
Owner Name: PALATINO MICHAEL A
Owner's Address: 503 ROUTE 28 UNIT 18 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-851
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Installation of thirteen photovoltaic modules on existing structure
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❑ 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: 5.33 Solar PV KW AC Rating: 3.12 No.of Electric Vehicle Supply Equipment:
No.of Modules: 13 Roof-Mount IN Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 11,756.7 Work to Start: June 4, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID LEWIS License Number: 22693
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: North Grosvenordale, CT, 062551136 North Grosvenordale CT
062551136 Fee Paid: $150.00
Email: davidlewiselectric@gmail.com Business Telephone: 774-230-9515
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: Gerardi Insurance Services
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