HomeMy WebLinkAboutBLDE-23-19012 6/27/23,5:27 PM ! f ') about:blank
- Commonwealth of Massachusetts og v4 ',
* Town of Yarmouth z
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ELECTRICAL PERMIT a -4 `" •'` � ''
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Job Address: 441 BUCK ISLAND RD UNIT F2 Unit:
Owner Name: BOCHIECHIO JAMES F KELLEHER JOYCE A
Owner's Address: 67 MILLIKEN AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19012
Existing Service Amps/Volts Overhead El Underground O No.of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Fixtures, recessed lights, &circuit for microwave.
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.0 Above-Grnd.El Hot Tub El 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 CI No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System El No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount El Level 1 O Level 2 El Level 3 El Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WILLIAM F DOUGHERTY License Number: 13932
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: ORLEANS, MA, 026534841 ORLEANS MA 026534841 Fee Paid: $50.00
Email: billselectricorleans@comcast.net Business Telephone: 774-722-0781
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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ip -Yn Commonwealth of Massachusetts L-Lal Use Onl.
t ZU23 Permit No.: — , 1y t
wi= Department of Fire Services Occupancy and Fee Checked:
Bu ; li= ,� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
BY __y^ .
"` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 CIV,IR 12.00
City or Town of: YARMOUTH Date: (,Z 7/2,a2.3
To the Inspector of Wires:By this application,the undersigned gives notic s of his or her intention to perform the electrical work described below.
Location(Street&Number): 9 yf l3✓C f tc'/ory t d 2o4 d Unit No.: F 2_
Owner or Tenant:i?we5 BDdk+ewa f f y� kel(e�e Email:
Owner's Address: ,SG.i,t_L ` Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: Utility Authorization No.:
Existing Service: Zod Amps 24t 0/(20 Volts Overhead❑ Underground I . No.of Meters: /
New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters:
Description of Proposed Electrical Installation: eep6c /CIl'c&eitt for e� pbtowytl�. F)X/ w .f
/' N.Zer-eo bisk& c Icf C/'rcvl'1 -Pay' al!'Grd I.de)
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable 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 0 No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub 0 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 0 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 I 0 Level 2❑ Level 3❑ Rating:
OTHER:
............_.....
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Elec9ical Work: -j5�(J (When required by municipal policy)
Date Work to Start: U/27 -2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: /0/4a v/Lt,P -y A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: (JJ'' LIC.No.:
Journeyman Licensee: Grit/ tm FAV/ y LIC.No.:/3732—e
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 6t%Ol t) /tiri"1/,2 Ode yl.-DL 6 S2
Email:4///f€L 't r/GOj" ?Cvt-r e,omC4 N.e7/-- Telephone No.: 77Y 722-4?ef l
I certify,under the • enalties of perjury,that the information on this application is
�is true and complete.
Licensee: _ - Print Name: 4/, ->�; ?`C Cell.No.: 77 7Z �Z- e`
INSURA CE COVE�Unless waived by the owner,no permit for the perform e of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s e to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER El Specify:
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)Owner❑ Owner's agent 0
Owner/Agent: Tel.No.:
Signature: Email.:
A/&e/ crori at PI S C,m c a s7z.,nr-e /-