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HomeMy WebLinkAboutBLDE-23-001317 UNIT 26 Commonwealth of fici Massachusetts 0PennitNo. BLDE-23-001of317 al Use Only 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:9/12/2022 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) 481 BUCK ISLAND RD UNIT 26 Owner or Tenant Buck Island Village Condo Trust Owner's Address WEST YARMOUTH, MA 02673 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps _ -- Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 Number of Feeders and Ampacity gNo.of Meters Location and Nature of Proposed Electrical Work: Re-feed post lights for building#26. 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 No.of Luminaires Swimming Pool Above ❑ Irgnd. ❑ No.of Emergency Lighting 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. Total No.of Alerting Devices Toni No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained I Totals: Detection/AlertingDgvices 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 evices 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 ❑ BOND ❑ OTHER 0 I certify,under the pains andpenalties o (Specify:) f 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$100.00 I 1 C,one»wnevea Of f//amacchuaQtte Official Use Only 411 `~� (,/V/�) ` e_�j Services Permit No. J c y + .IVQI{�d�✓�� 1f -" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked •—� [Rev. 1/07] (leave blank) 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: City or Town of: � To the Inspector of Wires: By this application the undersigned gja snotiice,of,,his or her-intention to perform the electrical work described below. Location(Street&Number) 2 ( '6 L't k t0' d c/ . 13 � ' _1-, n? 46 Owner or Tenant LtC T h i let p y4 Telephone No. 5O4'•'/?o.0.?9? Owner's Address Is this permit in conjui ctioonnwwith a building per t? Yes ❑ No a (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Flect c,l Work: Q G• 'eg p 0 S+ L i `1 z„ L4 lieu., (.4F '& fe , 1� ��/t `L7 ( 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pont Above L. In- ❑ No.of Emergency Lighting grnd. grad. 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. Toonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons (kW No.of Self-Contained Totals: r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Omer No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Na of Devices or Equivalent No.of Heaters KW Signs Ballasts Data Wiring: 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 El ctrica Work: Z a Dd• (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV RA E: 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 ❑ (Specify:) I cert fy,under the pains and penalties of perjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrical Licensee: LIC.NO.: 2 2 6 42-A Nick McElroy Signature (If applicable,enter "exempt"in the license number line.) g LIC.NO.;870 Al(8us:nes5} Address: 381 Old Falmouth Rd. Ste 32 Marstons Mils,MA 02648 Bus.Tel.No.; s508-566-44$9 *Per M.G.L.a 147,s.57-61,securitywork Public Safety�, „ Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that Department the Licensee does not havehe liability insuratnce coverage ,I hereby waive this requirement. I am the(check one ■ owner owner's normally required by law. By my signature below, ■ a ent. Signature Telephone No. PERMIT FEE:$ Q I. 40 Email: Office@capecodelectrician.com