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Home My WebLink AboutBLDE-22-005668 = t \ Commonwealth of Official Use Only iE. Massachusetts Permit No. BLDE-22-005668 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev,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:4/5/2022 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) 2 FIRST RD Owner or Tenant Dan Carroll Telephone No. Owner's Address 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: Remodel kitchen&2 bathrooms. 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 ❑ 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:) 57J - e 9 LE 7 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 auceicv.2_4/p2_, kL(-Itt4c.tivAce. FerutaivQ.e .... gorb evtetw cave �0Z1D1]LCinfJ� oAi (�tt(t-O'- - 14 Commonwealth ol yyj / ///aaaachuaalfe Official Use Only k;-a' c� n ,gyp ". .0 Js/vart`msnf o . i J Permit No. "Lz S f ttJ: arvresd a BOARD OF FIRE PREVENTION REGULATIONS { Occupancy Rev. 1/07] and Fee Checked(leave blank) ---- APPLICATION FOR PERMIT TO PERFORM ELE TRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 Cr (L City or Town of: YARM O UTH To the Inspictor of Wires: By this application the undersigned gives tice of his or her intittion to perform the electrical work described below. Location(Street&Number) 3 S-/— Owner or Tenant P4-/`) C /� (r Owner's Address 5 Telephone No. Is this permit in conjunction with a building permit? y� i Purpose of Buildin ��Q / �� No El (Check Appropriate Box) g -- =`" Q-d�y e / Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd E No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: 4Ing. e - eme /6/ Com letion o the ollowin table m be waived b the Ins ector o Wires. �,•i No.of Recessed Luminaires No.of Ceil:Susp. (Paddle)Fans °•° ota :R No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ❑ o.o mergency g mg No.of Receptacle Outlets rnd.e nnd. ❑ Batte Units No.of Oil Burners FIRE ALARMS No.of Zones ' : No.of Switches No.of Gas Burners o.o election an No.of Ranges Initlatin Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers eat ump um er ons Totals: Det ction/Alertin Devices No.of Dishwashers Space/Area Heating KW Local un cipa No.of Dryers ❑ Connection ❑ Other rY Heating Appliances KW ecu ty ystemes: o.o a er o o No,of Devices or E uivalent Heaters ' ° ° Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons ring: OTHER: No.of Devices or E uivalent Estimated Value of 1gEtrica Attach additional detail if desired,or as required by the Inspector of Wires, ork' (When required by municipal policy.) Work to Start: G (Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERA E: 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 ❑ BOND 0 OTHER I certJfy,under the p, an penalties o 0 (Specify,) FIRM NAME: ��e _ perjury,the the Information on this application is true and complete. d Licensee:�p EjQ�` ` C �c C 4) G LIC.NO.: ��/1 � Signature ,r , --0 ', gfapplicable,e t r eegmpt to t,tics Lnum Jine.J •= LIC.NO.: Address: LL f' / a� 02. /O Bus.Tel.No.:___ 3/-4 *Per M.G.L.c. 147,s.57-61,security w k requ res Department f ublic Safety"S"License: LiAlt. e.No. � 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/Agent ❑ owner's a:ent. Signature Telephone No. PERMIT FEE:$