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Home My WebLink AboutBLDE-21-002630 �� . • mmonwealth of Official Use Only ,� )4:41 flitt / Massachusetts Permit No. BLDE-21-002630 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:11/10/2020 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) 116 EXETER RD Owner or Tenant RIT KILROY Telephone No. Owner's Address 116 EXETER RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr i •r .• Box), ( Purpose of Building Utility Authorization No. 3 Existing Service Amps Volts Overhead 0 Undgrd 0 0:, • • New Service Amps Volts Overhead 0 Undgrd ❑ ��'o �' rs �A Number of Feeders and Ampacity � .... ■ ,4178 4178 Location and Nature of Proposed Electrical Work: Install split A/C&replacement furnace. Completion of the following table may be waived •ZIP . •f Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of t,) Transformers k. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grade ❑ grnd. ❑ No.Batter Emergency Lighting No.of Receptacle Outlets 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 Tons Tot No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local 0 Municipal No.of Dishwashers p Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siuns 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 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. ._._..., _ Owner/Agent Signature Telephone No. PE '- :Oa i\ii it -1V 1-0•0J 2/13(7-1 a 1_ 17-1 -)RNA &t$/spt .T 4k itt'mT' — !'.. ;, .7,1d —43 .t i oawaernwaah el/�laagachaisile Official Use thtty �' cy anE e►� lnr. irvkae Permit No. t v Occupancy'and Fee Checked HOARD OF FIRE PREVENTION REGULATIONS [Rev, Nava WOO APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfhrtnexl to scoordsnce with the Massachusetts Electric&Code 7C) , 1 Clvlik 12 00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIO Dote: /O36 ex ) City or Town of: i c lr vli C(A To the Inspector of Wires: By this application the undersignedS ofs or her t on to poriorm the electrical work described below, Location(Street eS Number) �,11 l0 7 EKE V Owner or Toast �G 7-t {'r I v-0 y Teiophoe.No.?!7. 8"61. % cos- Owner's Address Is this permit in conjunction with a building permit? Yes 0 No a (Check Appropriate Beat) Purpose of Building Utility Authorisation No. Existing Service.w._.... Amps / Volts Overhead 0 Undgrd 0 Na of Meters MOLiii0tilit Amps / Volts Overhead 0 Uadgrd 0 No.of Meters _.. Number of Feeders and Ampaclty Location and Motors of Proposed*Metrical Work: Wi,.e m4IU q'i A-�[' f 6L rGjl(ce Coew,ifltonoft piowtntr r be waived 6i r y:x fini No.of Recessed Luminaires No,ofColl.-Surp.(Paddle)Fans TNa`o ws KVA No.of Leeminalre Outlet* No.of Rot Tobs Generators KVA Na of Lnaaiaaisw Swimming Pool Alcove [-1 Co- 0 Pa onlarilacY UPS$ gtrends 'tutsitsio No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Earners KO. , , Al d No.of Ranges Na of Air Coed. No.of Alerting Devices 1 No.of Waste imposers TookIli lE'« l lE.. ,I .,,. do. . $, No.of DMhwakers Spam/Area Beating KW Local 0 , r.4 0 Other No.of Dryers Hooting Appliances KW ' r � ' -. or IlAteiValotrt Vo.ores ter No,of K.of 'Data- e Haters KW 81101 Ballasts ,, a .,�Y 1 = c t No.Hydromasage Bathtubs No.of Motors Total HP OTHER: - Attach additional detail tfdestre d or as required by the inspector at Wirer. Estimated Value of Elton' I Woric: 17 • (When required by municipal policy) Work to Soot: 0 Inspections to be requested In accordance with MEC Rule 10,and upon completion. INSURANCE: : Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability Insurano.Including"completed operation"coverage or Its substantial equivalent. The undersigned certifier:that such coverage Is In forts,and has exhibited proof of same to the permit issuing cf'foc CHECK ONE; INSURANCE Cif BONI?G OTttER 0 (Spaot r,) I cent$?,Mader tits pain seed pasties gfpesjrrt`,iMar the WoettesSiole on tube alrpi/a 4.a is true perm complete. FIRM NAME: Cane Cq4 glesilig41 LAC.Nat 22 i 41.2,A Ucenas: Nick Mc$1 r ay Signature ----- "�� LIC.NO.: (fapplkable,enter"exempt"to the license n beer lined BUe.Tel.No.: ,$ Addresetti_Ot. jilo4 1594 Mgritpns Milli MA 02 4L AI$.Tei.No.t *Per M.O.L.c. 147,s,57.61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doss not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the( et[el 0 oral. JD owner's wit., Owner/Agaut PERMIT PE&$ �o Signature . Telephone No, Email: OfficelricapocodelectrIciad.com TOWN OF YARMOUTH BUILDING DEPARTMENT N. J 1146 Route 28, South Yarmouth, MA 02664 /� 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a yarmouth.ma.us April 21,2021 Nicholas McElroy Cape Cod Electrical P. O. Box 1594 Marstons Mills, MA 02648 Location: 116 Exeter Road, West Yarmouth Permit Number: BLDE-21-002630 Dear Nick; The above noted location inspection failed to pass for the reason(s) listed. Article 210-63 Receptacle required within 25' Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and advise when the corrections have been made and when access may be gained, to the property, for the re-inspection. If you have any questions please do not hesitate to contact me. Sincerely, Town of Yarmouth, Building Department K. Elliott, Inspector of Wires