The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007062 of r Commonwealth of official use only fi 4) Massachusetts Permit No. BLDE-22-007062 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) 11 MASSASOIT RD Owner or Tenant BALTAZAR MARIA A TR Telephone No. Owner's Address THE REVOCABLE INDENTURE OF TRUST, 18 MARION CIR, LUDLOW, MA 01056-1552 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: Wiring for out door"lighthouse". 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 9 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units 4. 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 11 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 ❑ 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:) 1 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 I Pip.E (k-, Are) PaL ith mikpbatws • 614 C emmontusa6.4 o////aaeachuestfa Official Use Only • : 2 sparfmsni of tiro&pekoe Permit No. '� 70 �� as' t t Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]1/41/4 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 C 12.00 (PLEASE PRINT IN INK OR TYPE LL INFORMATION) Date: 5 31 ad City or Town of: b��"' 1 14 To the Inspecta of W res: By this application the undersigned giv s notice of his ar her intention to perform the electrical work described below. Location(Street&Number) (, ( 1/14C(5,5 d SO(L Y i3 _ Owner or Tenant 3--rCC---pck i-F9 00 p-- Telephone No.17/l3.3457 034c Owner's Address Is this permit in conjunction witit a building permit? Yes 0 No Purpose of Building ' tf5(c.e(1,-7 � ut (Check Appropriate Box) Utility Authorization No. Existing Service_____ Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Uadgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �l r-e b abcir I(81+ h p ce S Completion of the following table may be waived by the Ins actor of Wires. No.of Recessed Luminaires No.of CeU.-Soap.(Paddle)Fans go.of Transformers Total No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in- NO.afl!mergenty Lighting grad. grad. 0 Battery Unite No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Switches No.of Gas Burners No.of Defection and Initlsttina Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devi No.of Waste Disposers Heat Pump i Number ITone KW �14o.of Self-Contained Total,: ..._.,........... ... I DetettlOkileKtitg Dices No.of Dishwashers Space/Area Heating KW Local 0 Co� non 0 Other No.of Dryers Heating Appliances KW Secarlty S aems: No.of Water KW No.of Na.ofNo. ring: es or Equivalent Heaters Signs Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Na.of orqulvt+lent . 'Telecommunka ono ring: OTHER: No,of Devices or Equivalent Attach additional detail I f desired,or as required by the Inspector of Wires Estimated Value of 1 .cal Work: 1 •Work to Start: j� (When required by municipal policy.) oZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V RAGE: Unless waived by the owner,no permit for the the licensee provides proof of liability insurance including"completed operation"coverage ovrag performance of electrical work may issue unless l undersigned certifies that such coverage is in force,and has exhibited proof of samce to the permit issuing o�futvatent, The CHECK ONE: INSURANCE 12 BOND 0 OTHER 0 (Specify:) ce. I certify,under the pains and penalties of perjury,that the information on this application is twee and cotnple FIRM NAME: Cape Cod Elect is I Licensee: LIC.NO.:_ �4y Jjj_c c E l r o v Signature 670 Al(Business) applicable,enter "exempt"in the license number line) (If Tel NO.: Address: 381 Old Falmouth Rd.Ste 32 Marston Mills MA 02848 Bus.Tel.No.: 50816t5.4489 *Per M.G.L.a 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 Licensee does not have the liability insurance coverage required by law. By my signature below,I hereby waive this requirement. I am the(check one II owner ■ owner's a!-nt. Owner/Agent erage normally Signature Telephone No. PERMIT FEE:$ d ,a►7 Email: Office@capecodelectrician.com