HomeMy WebLinkAboutBLDE-23-19254 7/31/23,6:20AM about:blank
Z.\ Commonwealth of Massachusetts of VA
* Town of Yarmouth
0 �')ce. `,
ELECTRICAL PERMIT `�`� , '
Job Address: 59 PARK AVE Unit:
Owner Name: KEVORKIAN LEONA TRS HIGHLAND FIFTEEN RLTY TRUST
Owner's Address: PO BOX 358 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19254
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps I Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: wiring of mini split system
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: ,n0 otal KW:
No.Heat Pumps: 0 Total KW: Total Tons: Fire Alarm System❑ No.of D i r
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detectin �`> 1,
No.Oil Burners: No.Gas Burners: Video System ❑ ��ref •D ' 5,,
i
No.Air Conditioners: Total Tons: Telecom System ❑ No.Od t . •
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.o'rJ N
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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 950 Work to Start: July 28, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: CHARLES K SWANSON License Number: 12895
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W BARNSTABLE, MA, 026681300 W BARNSTABLE MA
026681300 Fee Paid: $50.00
Email: rachael@robies.com Business Telephone: 5087753083
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: Federate Mutual
about:blank 1/1