HomeMy WebLinkAboutBLDE-24-875 6/10/24,6:11 AM ( I about:blank
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Job Address: 1095 ROUTE 28 Unit:
Owner Name: CAPE COD BANK&TRUST CO NA
Owner's Address: 12-380 WELLINGTON ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-875
Existing Service Amps/Volts Overhead Cl Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Repair to electrical wiring and devices damaged by vehicle crash
No.of Receptacle Outlets: 6 No.of Switches: 2 Generator KW Rating: Type:
No.Luminaires: 4 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: 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: $ 8,000 Work to Start: June 10, 2024
FIRM NAME: A-1 License Number: 3569
Master/System and/or Journeyman Licensee: JOHN J ANNARELLI License Number: 10192
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: North Billerica, MA, 018621318 North Billerica MA 018621318 Fee Paid: $100.00
Email: elecpermits@medfordwellington.com Business Telephone: 781-953-24041
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: USI Insurance Solutions LLC
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