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Home My WebLink AboutBLDE-22-000250 Commonwealth of Official Use Only L. ,14), Massachusetts Permit No. BLDE-22-000250 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:7/15/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 47 HARBOR RD Owner or Tenant DOYLE MICHAEL J Telephone No. Owner's Address DOYLE J M & DOYLE B M &J C, 11 HADLEY COURT,ARLINGTON, MA 02474-3810 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. 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. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BOKE-ON ELECTRIC, INC. Licensee: Robert Bocon Signature LIC.NO.: 22658 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:402 Court Street, Plymouth MA 02360-7311 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 1 1)6 </ to fr C am. RECEIVED .. !`' Commonwealth.al'aeeachu�alle Official Use Only JUL 14 ,,,�Kr:�- ` 1 22 -O2 C) �►_lt;'s? t cc//�� cc77 nn Permit No. t = A ;r f 2sparimsnl of ira Jarvicse BUILDING DEPAi,,,,..L BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked By:------ [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME27 /iR 2 r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: !/ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of h. or her intention to perform the electrical work described below. Location(Street&Number) 4/ 7 /.4. (/v( i 2) Owner or Tenant /(e Pp �- Yfe- Telephone No. $V5 � 5.-63 Owner's Addresse5S 2� Is this permit in conjunctiop with a ilding o) Yes No El (Check Appropriate Box) Purpose of Building ,✓ e.51`C.r9/`•I permit?1 Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A , Id,<,,,,.. RQ/vt.8 cOe l t Completion of the followingtable mbe waivedy the I u� may bns Inspector of Wires. x No.of Recessed Luminaires No.of Ceil:Sas No.or Total ofp.(Paddle)Fans Transformers KVA C'.t No.of Luminaire Outlets No.of Hot Tubs Generators KVA n f" No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units "4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners *No.of Detection and Initiating Devices 11 i No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons 1KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Olher No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters Signs Ballasts KW No.of No.of Data Wirin No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring; No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 overage is in force,and has exhibited proof of same to the permit issuing office. ove CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the s a "penalties of pert ury, P hat the Information on this application is true and complete. FIRM NAM • � a 2 e- U,. LIC.NO.: � Licensee: / / s c d p Signature ,�� t LIC.NO.: (lfapplicabri t 'exempt"in the icensetrumber� �� Address: Co J .,,, A14 iel,it Bus.Tel.No. *Per M.G. 147,s.57-61,security wor requires Department of Public Safety"S"License: Alt.LicTe'.No. Y-7/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ l