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Home My WebLink AboutBlde-21-006458 Commonwealth of Official Use Only Of_ A Massachusetts PennitNo. BLDE-21-006458 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:5/7/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 23 PAWKANNAWKUT DR Owner or Tenant James Tighe Telephone No. Owner's Address 23 PAWKANNAWKUT DR,SOUTH YARMOUTH, MA 02664 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: Replace 100 amp panel. 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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: Licensee: Nicholas McEloy Signature LIC.NO.: 22642 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 Captain Carleton Road,Cotuit Ma 02635 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 &bUfr4(21 Kg .* COMM040•41►7 Maaraciukurtb Official Use Only l Pernik No. %V ` (0 `C cle \:)' Zo»t of gift&"mica Occupancy and Fee ChokedBOARD OF FIRE PREVENTION REGULATIONS Atm. 1/07j tieavoieda) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acoordanco with the Massachusetts Electrical Code ,$27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA 0N) Date: �f City or Town of: Ct. 041 d(4, To the I for of Wires: By this application the undersi dives notloe his or her intention to perform Ito electrical work described below. Location(Street It Number) 8,1 GCS h4 M1f1 aW i(4, OrI Vim• Owner or Tenant Criiq t1'ytF !S { f'� Telephone No. 6(7 93- : /797 Owner's Address 11 this permit in conjunction with a building permit? Yes 0 No [r (Check Appropriate Box) Purpose of Building Utility Authorization No. Exlotiag Berries. JOD Amps / Volts Overhead 0 Uadgrd 0 Na of Meters baba* 112t> Amps / Volts Overhead❑ Uadgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electric$!Works gp (tee [Ole Am, .1E&-I-vt cA ( P004 Co natlstign oftat bllow�ram►lest wat�wd by the/is�p�c�r at Wires, No.of Recessed Laaainainw No,of CeiLeStup.(Paddle)Irate Tra�ss KVA No.of Luminaire Outlets No.of Hot'Feb. Genssrstors KVA No.of Luminaires Swhnatbng Pool Ab a 0Ind. 0 74 Un►tts y No.of Recoptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones •No.of Switch* Na Bow Gas Bers No. . ,,►, . ► „ 4 y No.of Ranges No.of Air Cond. T i No.of ANrdig Doyle* No.of Wash Disposers trod rimili ptft ltr4ttni.....,`_ ....... `la Of ,,,,,t. TeudgNo.ofDWtwasben Space/Ara Boating KW Local 0 ',`,� {ry; 0 Other pry Besting Appliances KW '. .gr Na of ass , : T ..,: itonlvalont No.of Wahl* KWr Iva oT No.of Data WiirGyt Heater 8aibwb . No.Hydromaa�Bathtubs No.**Motors Total HP �•' . OTBSRs 0 o Attach additional dirsall Lf . i str or at rvgvtred'by she Inspector of lbw Estimated Value of !sots! l Work: /496• (When required by municipal policy.) Work to Start; 5 / p�-1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE GE: Unless waived by the owner,no permit for the perfbrmanoe of electrical work may issue unless the liosttea provides proof of liability insurance including"completed operation"coversge or its substantial equivalent. The undersigned certifies that such oovsyge is in fbroe,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Speclfy:) I csV,mkt,the piles and pinata"Opt**,Mat the summation on this apparition Is owe and csmaplato FIRMNAMEt Cane Cod Electrical LIC.NO.: 121112.A Licensees N i c k M c 111 r oyy SlgnaSignature ,,.— /' LIC.NO.: (b'appltcablt.enter"exempt"to the limn mother lbw) Bus.Tel.No,U08-04$9 AddresssP.9. Box. 1594 Iylg,ratona Mills MA 02648 Alt.Tel.No.: *Per M.O.L.o. 147,s.57.61,security work requires Department of Public Safety"8"License: Lio,No. OWNER'S INSURANCE WALVERt I am aware that the Licensee doss not haw the liability insurance coverrgge normally milked By my signature below,I hereby waive this requirement. I tun the( one)0 oar Downer's*tent., SigaaTelephone No. PERMIT FEE:$ 5-O• a`) Sigaatuw Email: Ofmce(&capecadebctriciaa.com