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Home My WebLink AboutBLDE-22-007064 ar Commonwealth of Official Use Only E_ Massachusetts Permit No. BLDE 22 007064 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:6/7/2022 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) 48 PHYLLIS DR Owner or Tenant Timothy Niko Telephone No. Owner's Address 48 PHYLLIS DR, SOUTH YARMOUTH, MA 02664-1680 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approixiate Box). ^ 6 Purpose of Building Utility Authorization No. Z7 Cr 1 Li Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Mete s New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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- o 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 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 &fr f f L& ge 1-),)'kT • $4 Commonwealth o////aasaclaudetfs Official Use Only i. lii, '/ cc�� cc�� n Permit No. 02Z7 �O — I oclb ' . .5eparimeni o`.tlee Services pan BOARD OF FIRE PREVENTION REGULATIONS [Rev. IOccu/07]cy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 2.00 (PLEASE PRINT IN INK OR TYPELL INFORMATION) Date: --- j f 07a- City 2a`-City or Town of: t 0(Az (-j'1 To the Inspector of Wir s: By this application the undersigned giv s notice of his or her intention to perform a electrical work described below. Location(Street&Number) a !`/S R._ Owner or Tenant - 4 d /i ' I 1 Telephone No.,7570-t!o o yd D Owner's Address Is this permit in conjunctiowith a bylidingermYes 0 No ® (Check Appropriate Box) Purpose of Building - - e-5( Q,I.l Utl ty Authorization No. Existing Service t b 0 Amps / Volts Overhead [ Undgrd❑ No.of Meters New Service 4200 Amps / Volts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Locattn and Nature of Proposed Electrical Work: uce Cj(a de (1 „e/1. 1042. Ser vi C.p rawi 1 S -b 4700- 14, Completion f the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii..Susp.(Paddle)Fans Trann# T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- ❑ lro.at>�mergeocy Llgeaug g fund, grind. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of flotation and No.of Switches No.of Gas Burners InitiNting Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number 'Pons ,RW 'No.of Self-Contained1 1 Totals: Detectdo ces No.of Dishwashers Space/Area Heating KW 'mai❑ Co RPa n ❑ Other No.of Dryers Heating Appliances KW -4 Security a 4f i Systees or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Device, or tip lvaI0pt Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: p Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o E1 'cal Work: ry (When required by municipal policy.) Work to Start: e2- Inspections to be requested in accordance with MEC Rule 10,hind upon completion. INSURANCE C RAGE: 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 j) BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and cotnple FIRM NAME: Cape God Electrical LIC.NO.: 22642-A Licensee: N i c k McElroy Signature LIC.NO.:670 Al (Business) (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.t 508-566-4489 Address: 381 Old Falmouth Rd.Ste 32 Marstons Milts,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 /1op Signature Telephone No. PERMIT FEE: $ 5 . Email: Office®capecodelectrician.com