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Home My WebLink AboutBLDE-21-006456 Commonwealth of Official Use Only !IL. t 1 Massachusetts Permit No. BLDE-21-006456 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 pertorm the electrical work described below. Location(Street&Number) 45 PRINCE RD Owner or Tenant ZORZI FAMILY LLC Telephone No. Owner's Address 45 PRINCE RD,WEST YARMOUTH, MA 02673 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: I&wire septic pump. 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- ElNo.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 Initiatine 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 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 ❑ 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: $50.00 Co�onwea<th of ce-��r/adeac �a Official Use Only y •( o .tir+r.�iwksd Penult No. - - `� S� - p" Occupancy and Fee Checked �. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pertbrmed in accordance with the Massachusetts Electrical Code(MEC) 527 12.00 (PLEASE PRINT IN INK OR TY E ALL INFO TION) Date: o`� �{ cA l City or Town of: ce,r14 tO To the Inspec or Wires: u By this application the ndersi l gives notice of his or hererp Intention pert the electrical work described below. Location(Street Ss Numbs pt 7(1Ci "occa. Owner or Tenant "A ' 26 r Z.I Telephone No. : a7.00`' Owner's Address Is this penult in conjunction with a building permit? Yes ❑ No Qr (Check Appropriate Box) Purpose of BBuilding Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ Na of Meters New Service Amps / Volts Overhead 0 Uadgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( c 6 pWii1 t Completion of theollowini itble top be waived by the hu clor of Wires. No.of Recessed Lnmlaalra No.of Gil.-Sup.(Paddle)Fans T""°termer. KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swdmmisg Pool Above ❑ Its- ❑ NO.or tcnlerpney L oanS toad. trod. !setter/Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No,of Gas Burners X.° and lstltiatitg4es No.of Range, No.of Air Cond. T No.of Alerting Devices No.of Waste Dispose 'Seat Pump IsUUbeL„Iengw,...p „,, No.oil$laronisined y Disposers Toles: ► . t f.t, , ..11 1 No.of Dishwashers SpacdArea Heating KW Local❑ -M 0 Other Heating Appliances KW Y ' -a: No.of Dryers No. ,/ .•ix.. or Univalent Ro.ofWater No.01 No.°? Data Wiring: Heaters KW Stu Ballasts m Ta tsf.► , -.., or t at No.Hydromassag.Bathtubs No.of Motors Total HP �, ,,;. or Wlvnt OTHER: �. Qc, Attach additional detail I f desiredd,or as required by the Inspector of Wires. Estimated Value of lec l Work: `5 CC ' (When required by municipal policy.) Work to Start: �/3 .2/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 Bil BOND 0 OTHER 0 (Specl$r:) 1 co*,under the pains and peace of perjury,that the tnJorm:don on this application Is trace and comae. FIRMNAME: Cane Cod Electrical LIC.NO.: 22642.A Licensee: N i c k M c E 1 r o y Signature, LIC.NO.: ((f applicabk,enter"exempt"In the license number line.) Bus.Tel,No.: 508466-4489 AddreassP.9. Box 1594 J1grgtons Mills MA 02648 Mt.Tel.No.: *Per M.O.L.c. 147,s.57.61,security work requires Department of Public Safety"S"License: Lie.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. 1 am the( one)❑owner j,J owner's eaent. Owner/Agent PERMIT FEE: d•cd Signature Telephone No. Email: 0Mce(gcapecodelectrklan.com