The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007063 • Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007063 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) 79 WEBSTER RD Owner or Tenant Olaf Weidhaas Telephone.No. Owner's Address 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Hot Tub 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 1 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/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: $65.00 Ota 1/7/v Commonwsa&o/frtaeeac/tie Official Use Only '' '/ c�� Permit No. t)1-2--'706,3.Department of glee)ewkcse ` BOARD OF FIRE PREVENTION REGULATIONS [RevOcc.upancy and Fee Checked1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CM 12.00 (PLEASE PRINT IN INK OR TYPES 4LL I�AFO-RMATION) Date: 6 /3 ( a-Z. City or Town of: ‘--6Y-X-V�a l.�( I ) To the Inspector of Wi es: By this application the undersigned gives notice// of'' his or per in ntion to peY� the electrical work described below. 17Location(Street&Number) t V`i intention V Owner or Tenant DL di ' i't%�� TelephoneNo..5e sir(Lit. cr./?3 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampecity Loco on And aturre of Proposed Electrical Work: ' ..(1,�.--�(/( eel`D VO(f" 55 Rm.-L/0 - Cb 0rc(.6-(-- Co .letion o the ollowin: table ma be waived b the Ins'ector o Wires. No.of Recessed Luminaires No.ofCe11.•Susp.(Paddle)Fans Tr o o a Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmia Pool Above ❑ In- ❑ 'No.01 emergency Lighting g tzrnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones nt No.of Switches No.of Gas Burners 'No.of Det tin D and Initl , Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ,Detectign/Alertlwt pgvices No.of Dishwashers Space/Area Heating KW Local 0 CMMouggnuiTcl, *pal 1-1 011ier No.of Dryers Heating Appliances KW Securly Systems: n` No.of DiAm_or Equivalent No.of Water , No.of No.of `Data Wiring: _ Heaters Signs Ballasts No.of i or equivalent Ten:communiot i ons Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No,of Devices or Enuivtdent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of 1 'cal Work: (g00 (When required by municipal policy.) Work to Start: 6 t R a 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the to formation on this application is true and corn* FIRM NAME: Ca • e od Electr'c : 1 LIC.NO.: 22( 42-A Licensee: Nick McElroy Signature LIC.NO.:670 Al (Business) (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-566-4489 Address: 381 Old Falmouth Rd.Sts 32 Marstons Mitis,MA 02848 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)❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ . Email: Office®capecodelectrician.com