HomeMy WebLinkAboutBLDE-23-16021 #17 6/9/23,6:17AM about:blank
N. Commonwealth of Massachusetts o ", '
* 0 Town of Yarmouth $ ` �
11y
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h ELECTRICAL PERMIT � t . ,,
Job Address: 107 SOUTH SHORE DR Unit:
Owner Name: KJ INGOLD LLC CIO SURFCOMBER MOTEL
Owner's Address: 112 SOUTH SHORE DR Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No P tt Number: BLDE-23-16021
Existing Service Amps/Volts Overhead 0 Underground 0 o.of Meters:
New Service Amps/Volts Overhead 0 Underground :. of Meters:
Description of Proposed Electrical Installation: Unit 17 installed exhaust fan, re•'•-i -ik. laceddVIC1Z3
GFI with
Arcfualt/gfi combo, installed arc fault receptacle, raised vanity light location O
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: D
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Win
No.Appliances: KW: No.Water Heaters: KW: No.Transformers:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Tota •
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 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,475 Work to Start: November 22, 2021
FIRM NAME: License Number: A11149
Master/System and/or Journeyman Licensee: LANCE A MACENERNEY License Number: 11149
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026732560 W YARMOUTH MA 026732560 Fee Paid: $80.00
Email: office@fullerelectric.net Business Telephone: 5087750030
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: Acadia
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