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HomeMy WebLinkAboutBLDE-005769 M Commonwealth of Official Use Only rc ,,� Massachusetts Permit No. BLDE-20-005769 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:5/11/2020 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) 86 CROWELL RD Owner or Tenant DENARO MICHAEL J JR Telephone No. Owner's Address DENARO FABIA, 1580 COMMONWEALTH AVE, NEWTON, MA 02465 Is this permit in conjunction with a building permit? Yes 0 No 0 (C . - •propriate Box) Purpose of Building Utility Authorization N �/ Existing Service Amps Volts Overhead 0 Undgrd to .�, e tO New Service Amps Volts Overhead 0 Undgrs 1 Y ` Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install recessed lights in living room. PoQ)Completion of the following table may z:#. ; nspector 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: NICHOLAS MCELROY Licensee: NICHOLAS MCELROY Signature LIC.NO.: 53797 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 Blackthorn Path, Forestdale MA undefined 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 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: $50.00 44A 142 t3(20 ee Commonwealth. �j Official Use Only 7 : � CornmonuaaUh o�/r/aaeac��e ��,_� 1 �[� ,. ,, (''� Permit No. _I 29pa,im8nit oil.. ire Sepuke4 a' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07) (leave blank) 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 INFORM�A�}ON) Date: J7,5 y,R e a C City or Town of: err i'h D (Atli To the Inspec or f Wires: By this application the undersign eves notice of his or her intention to perform the electrical work described below. Location(Street&Number) %'tf Cr,W1'i i Rd • Owner or Tenant rti(! 1K£ 1)E nq no elephone No. 19.476 03 f O Owner's Address Z Poli ,,Is this permit In conjunction with a building permit? Yes ❑ No © L1ITL *Purpose of Building Utility Autho - a0Existing Service Amps / Volts Overhead ❑ UndNew Service Amps / Volts Overhead❑ UndNumber of Feeders and Ampacity �' Location and Nature of Proposed Electrical Work: ad di. receSSeck k i el Apt�1/11 1(lba Completion of the followingtable may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.or Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grad. � Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW 'No.of Self-Contained No.of Waste Disposers Totals: Deteetion/Ailertl g.Devices No.of Dishwashers Space/Area Heating KW Local❑ Cofget n 0 O Heatingtiler Appliances KW Security stems:* No.of DryersNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: c,p•-1 j .o Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Cape Cod Electrical _ LIC.NO.: 22647-A Licensee: Nick McElroy Signature • /� LIC.NO.: (If applicable,enter"exempt"In the license number line.) Bus.Tel.No.: 508-566-4489 Address:P.O. Box 1594 Marstons Mills MA 02648 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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's agent. Owner/Agent , PERMIT FEE: ,S"0- 00 Signature Telephone No. Email: Office@capecodelectrician.com