HomeMy WebLinkAboutBLDE-23-15944 5/26/23, 1:48 PM about:blank
Commonwealth of Massachusetts of YAK ,
* `� Town of Yarmouth
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ELECTRICAL PERMIT ‘ ,f
Job Address: 403 WEST YARMOUTH RD Unit:
Owner Name: Susan Dubuc
Owner's Address: 403 WEST YARMOUTH RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 13182869
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15944
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:,
New Service Amps/Volts Overhead 0 Underground 0 No. of Mete
Description of Proposed Electrical Installation: 200 amp service replacement, install new circuit to electric drye't, nst
circuits to future mini splits
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 0 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 0 No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 8,000 Work to Start: June 9, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JASON MIENSCOW License Number: 22630
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: cumberland, ri, 02864 cumberland ri 02864 Fee Paid: $50.00
Email: inspections@cottijohnson.com Business Telephone: 7742655736
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: Utica National Insurance Group
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