The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001023 Commonwealth of Official Use Only �.RY2 Massachusetts Permit No. BLDE-22-001023 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:8/23/2021 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) 21 WINTER ST Owner or Tenant SMITH PATRICIA Telephone No. Owner's Address 21 WINTER ST,YARMOUTH PORT, MA 02675-1247 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: Mini-split system. 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- CINo.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. 1 Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 ❑ BOND 0 OTHER 0 I certify,under the pains and penalties o.fperjury,that the information on this application is true and complete. FIRM NAME: Licensee: Nicholas McEloy Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22642 Address:31 Captain Carleton Road, Cotuit Ma 02635 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 &It A C 7.Z6 rvv�-� l.ommontvea&h o`/rladdachudetid Official Use Only �{ t �UeparEinent o�dire Serviced PermitNo. C l 0 23 C _ ,..• BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATI N) Date: r 1/6 624 City or Town of: C' ( /It 0 G To the Inspec r o Wires: By this application the undersigned gi es notice of his or her in ntion to perform the electrical work described below. Location(Street&Number Owner or Tenant fed v j U v'1j-7 Telephone No.5OY'-R A(—..?/5-3 Owner's Address Is this permit in conjunction with a building permit? Yes 0 Na 4 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead 0 fl Undgrd 1; I 1 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wf r� i k. i sr/it 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. ❑ Battey Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number j Tons fKW No.of Self-Contained Totals: J Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other No.of Dryers Heating Appliances Kam, Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No. of Data Wiring: Signs Ballasts No.of Devices or E 1 uivaleut No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. • Estimated Value of Ele trical Work: 75 6 ' (When required by municipal policy.) Work to Start: d 2, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work mayissue the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrical Licensee: LIC.NO.: 2 2 6 4 2-A Nick McElroy Signature�� LIC.NO.:670 Al(Business) (If applicable,enter "exempt"in the license number line.) Address: 381 Old Falmouth Rd.Ste 32 Marstons Mills MA 02648 Bus.Tel.No.: 508-566-4489 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ i7•a Email: Office@capecodelectrician.com