HomeMy WebLinkAboutBLDE-24-1173 7/30/24,2:56 PM about:blank
Commonwealth of Massachusetts ;Ad. YA�-
* Town of Yarmouth ,�� °'
ELECTRICAL PERMIT ��cR
Job Address: 200 MID-TECH DR Unit:
Owner Name: JDB 212 MID-TECH DRIVE LLC
Owner's Address: 231 WILLOW ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-1173
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Uferground
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: ln-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 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 100 Work to Start: July 31, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ARTHUR P DOHERTY License Number: 17197
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: West Yarmouth, MA, 026732561 West Yarmouth MA 026732561 Fee Paid: $80.00
Email: kelsey-@baysideelec.com Business Telephone: 5087717270
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: Dowling and O'Neil Insurance Agency
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