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Home My WebLink AboutBlde-22-003352 gir or \,,VA Commonwealth of Official Use Only fi, stt ti Massachusetts Permit No. BLDE-22-003352 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:12/13/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location(Street&Number) .ii1111161 LEWIS RD Owner or Tenant Cindy Bissanti Telephone No. Owner's Address 59 LEWIS ROAD,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: Replacement furnace, add A/C,&receptacle for water heat: ,, 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Tot l No.of Alerting Devices TNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 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:) 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 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:$50.00 r Official Use Only Commonwealthoil MRb3aC/tl!'Jelaa � /�� 1, � Ay Permit No. 2)eparirxeni o/.Jire Servicee Occupancy and Fee Checked ] �� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TOaPERFORMl C ELECTRICAL�WORK All work to be performed in accordance �de �y � / (PLEASE PRINT IN INK OR TYPE A L INFORMATION Date: city or Town of: 6(.6410“ATo the Inspector of Tres: By this application the undersigned gives otice of his or her intention to perforp the electrical work described below. Location(Street&Number) rp ( A?V/1S e , Owner or Tenant � /rt gJ53 Ctel-f i Telephone No. (v/7'ytii •l. 810 Owner's Address Is this permit in conjunction with a building permit? Yes 0 NUtilityoA❑Authorization(CheckN Appropriate propriate Box) Purpose of Building Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service _____. Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity /� �/n L � �� Locat on and Nature o P opos Electrical Wo k: wire. fife i �V'�iGC� Cal% (/ )GL, �1L tot-eA"-e»N Completion of the fo/lowingtable 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 ri In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones "No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump Number„(j Tons [IZW No.of Self-Contained No.of Waste Disposers Totals:I 1 [ Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Heating KW Local 0 Connection No.of Dryers Heating Appliances KW Security Systems:*No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW 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 lec ical Work: / 't ' a4 (When required by municipal policy.) Work to Start: t 6 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrical LIC.NO.: 7 2 6 4 9 -A Signature /�� /�� LIC.NO.:670 Al (Business) Licensee: N i c k McElroy(If applicable,enter"exempt"in the license number line.) '""-. 3.0,,Tel.No.: 508-566-4489 Address: 381 Old Falmouth Rd.Ste 32 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)0 owner 0 owner's agent. Owner/Agent ( PERMIT FEE: $ S�' Signature Telephone No. Email: Office@capecodelectrician.com