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Home My WebLink AboutBLDE-23-000440 Official Use Only Commonwealth of Massachusetts Permit No. BLDE-23-000440 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:7/27/2022 To the Inspector of Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 11 BUNNY CIR Telephone No. Owner or Tenant HENNESSEY MEAGAN A Owner's Address HENNESSEY P T&M&QUATTRUCCI C M, 11 BUNNY CIR,WEST YARMOUTH, MA 02673 Yes 0 No 0 (Check Appropriate Box) Is this permit in conjunction with a building permit? Utility Authorization No. Purpose of Building Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace 100 amp service&install bath room fan. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Emergency Lighting No.of Luminaires Swimming Pool Above rnd e ❑ grnd.n- ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiatine Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals:Totals: Devices ❑ Munici al No.of Dishwashers Space/Area Heating KW LocalConne tion ❑ Other: Security Systems:* No.of Dryers Heating Appliances KWNo.of Devices or Equivalent NoNo.of No.of Ballasts Data Wiring: He Water KW Siens No.of Devices or Equivalent Heaters 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. f ical work may issue INSURANCE COVERAGE:Unless waived by the owner,nocoverageit or itsubstanr the t al equivalent.ance rThe undersigned certifiesss thah such covee licensee rage proof of liability insurance including completed opera g is in force,and has exhibited proof of same to the permit issuing office. S eci 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: LIC.NO.: 22642 Signature Licensee: Nicholas McEloy Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:31 Captain Carleton Road,Cotuit Ma 02635 *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 Licensedoes not have owlnerl ity 0 oinsuranee's en coverage normally required by law.But my w t. signature below,I hereby waive this requirement.I am the(check one) Owner/Agent Telephone No. PERMIT FEE: $50.00 Signature fib€ t 0 11217K6'' Commonwealth �/t'/j Official Use Only o� aeaae�euae�e Permit No.(�"3'�440 I. ' 49 ` ? araetment o f Sire Servicee . } , Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 2,00 (PLEASE PRINT IN INK OR TYPE A L INF 0 GI` i Date: t v a To the inspect r of ires, g. City or Town of: f'y) By this application the undersigned giv notice f his or]Thei�r intention perfo the eleieectr1 work described below. Location(Street&Number) ' (1 ' �}- ( o Owner or Tenant �,'� -� Telephone No.R 0 .353 6 Owner's Address Is this permit in conjueon wit��nQ�a buiIdipg permit?/ Yes 0 No [r (Check Appropriate Box) Purpose of Building ;.S(C1-e/1�1,11 u/�- Utili Authorization No. Existing Service (,t 0 Amps / Volts Overhead Undgrd ElNo.of Meters -- New Service ( 0p Amps I Volts Overhead Undgrd 0 No.of Meters Number of Feeders and Ampacity too /y� Location and Nature of Proposed Electrical Work: ��,-'! pa tse,c Se w i�.2 Ikeaa n aq e��{Vl a hatisl 'Pim t Completion of the fallawin table ma be waived by the inspector of Wires. �O.Off Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Lumina Generators KVAire Outlets Na.of Hot Tubs No.or Emergency ughting Na.of LuminairesSwimming g Pool Abrnd.ove 0 igrndn~ . [] Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and Na.of Switches Na,of Gas Burners initiating Devices Total No.of Alerting Devices No,of RangesNa.of Air Cond. Tons Heat Pump I Number lTons:.,.....,f:K'W No.of Self-Contained No.of Waste Disposers Totals: ( Detectian/AlertinL�Devices Municipal Other No,of Dishwashers Space/Area Heating KW Local Connection ❑ �Seeari'iy3ystems* No.of Dryers Heating Appliances KW No.of to or Equivalent - No.of Water Signs No.of` No.u t Data Wiring: Heaters KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: zi Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectric 1 Work: 5d-- (When required by municipal policy.) Work to Start: cR, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V E GE: Unless waived by the owner,no permit for hperformance or of substantial electricaltiol equivalent.rk may unless the licensee provides proof of liability insurance including poperation" undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE al BOND 0 OTHER. ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and LI co millet 6NO.: 70-A1 FIRM NAME: Ca e Cod ElectricalLIC.NO.: ;Ail d�' iyt c y Signature Licensee: ;' ' k �'r o Bus.Tel.No.: 508-56b-A489 (If applicable,enter"exempt"in the license number line.) Alt.s Tel.No.: Address: 381. Old F. sec security y te.work requires2 i uepartmtons 'ls Ma ent of 02648 "S"License: Lic.No. "Per M.G.L.c. U A 57-61,securityLicensee does not have the liability OWNER'S INSURANCE WAIVER: I am awarewahive that is requirement I am the(check one i■ ce owner coverage■ owner's aitee t. y required bylaw. By my signature below,I hereby Owner/Agent Telephone Na. PERMIT FEE: $ �J. Signature Email: Nick®capecodelectrician.com