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Home My WebLink AboutBLDE-22-005077 0- Commonwealth of Official Use Only s 44.401 :..,; Massachusetts Permit No. BLDE-22-005077 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:3/14/2022 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) 94 BAKER RD Owner or Tenant BERNARD ELEANOR A TRS Teph Owner's Address BERNARD DAVID E, 10 LONGWOOD DR APT 505, WESTWOOD, MA 02090 one No.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 ❑ Undgrd 0 gNo.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: Mini-Split system&surge protector. 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 No.of Luminaire Outlets Transformers KVA No.of Hot Tubs 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22642 Address:31 Captain Carleton Road, Cotuit Ma 02635 Bus.Tel.No.: *Per M.G.L.c. 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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$50.00 I g18122 l Commonwealth 0/ a1$dac40eelld O icial Use Only 1r *_., `l Permit No. Cb r7 — a,, , epartownt o gire exulted r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IN ORMATION) Date: .3 49a City or Town of: i To the Ins e or of Wires: By this application the undersigned gives notic of his or her intention to rform the electrical work described below. Location(Street&Number) ill ( ,, Owner or Tenant Ai CGS .. /CCA Telephone No,Orefi/.at/°1'y Owner's Address Is this permit in conjunction with a building permit? Yes 0 No j t (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd Q No.of Meters Nen Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location an Nato of Proposed Electrical Work: (A)(r.4 ki,t,1 , ,s2fl'E '11— t.5GG i- e PrOie Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of KVA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ie. No.of Em rgencyLighting g grad. " arnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na,of Gas Burne No.of Detection and rs initiating Devices ta No.of Ranges No.of Air Cond. . onnsl No.of Alerting Devices No.of Waste Disposers Beat Pump Number`Tons KW 'No.of Self-Contained. Totals: Detection/Alertin&Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Securlry Systems:* No.of Water Nu.of No.o� No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin : No.of Devices or Equivalent OTHER: 1 I Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of .lectrical Work: Oa CO , ,'hen required by municipal policy.) Work to Start: ?j t Inspect' ns to requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E 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. 1 _ CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) ti i I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Cape Cod Electrical LIC.NO.: ; Any v Licensee: N i c k McElroy Signature LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-566-4489 Address: 381 Old Falmouth Rd. Ste.#32 Marstons Mills Ma 02648 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 3-0tT0 Email: Nick@capecodeleetrician.com capecodelectrician.com