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Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 37 CAPT DANIEL RD Unit:
Owner Name: BAGGE ROBERT J TRS BAGGE SANDRA K TRS
Owner's Address: 37 CAPT DANIEL RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes PermitoNu tSer: BLDE-23-19277
Existing Service Amps / Volts Overhead ❑ Underground ❑ / IJl // ers:
New Service Amps (Volts Overhead ❑ Underground �N C o.
h
Description of Proposed Electrical Installation: R&R Solar panel to perform roof repairs: 1,,_:
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: 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 Modules: Roof -Mount ❑ Ground -Mount ❑
No. of Electric Vehicle Supply Equipment:
Level 1 ❑ Level 2 ❑ Level 3 ❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: July 31, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: STEPHEN CONNOLLY License Number: 22812
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BILLERICA. MA, 018213034 BILLERICA MA 018213034 Fee Paid: $150.00
Email: ntissot@tesla.com Business Telephone: 508-241-1493
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:
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