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Home My WebLink AboutBLDE-23-000631 Commonwealth of Official Use Only °� Permit No. BLDE-23-000631 fi Massachusetts 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:8/8/2022 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) 152 CAPT NOYES RD Owner or Tenant BENJAMIN MICHAEL J Telephone No. Owner's Address BENJAMIN MARY E,20 CRANBROOK RD,SHREWSBURY, MA 01545 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: Generator 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 1 KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Batten+Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches ,Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump Number Tons 1 KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Ballasts Data Wiring: 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. 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: LIC.NO.: 22642 Licensee: Nicholas McEloy SignatureBus.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 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 CI owner's agent. Owner/Agent 'PERMIT FEE: $50.00 Signature Telephone No. ( ?/-4-7 . CBB,, Official Use Only ommonavaa o f /a achoestta ,M .1g, 1t c^� c� Permit No. 3 - 00 t .LJspartnuant of Jire�aruice. 1{� -.' Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),5 7 CMRt12.00 (PLEASE PRINT IN INK OR TYPE ALL I OR MATION) Date: V.- 1 Ot O"L City or Town of: To the Inspe for f Wires: By this application the undersigned gives noti of his her int ntion to perform the electrical w� amdescribed below. Location(Street&Number) / ( ( t '`/h _Ala 'e c c " Owner or Tenant v t!l Jjc '.( 7 „orJ I j , t if) Telephone No. p• 77 .41716 Owner's Address �,/ Is this permit in conjune on wit a balding permit? Yes El No L� (Check Appropriate Box) fS Purpose of Building I ( fiat- Utility Authorization No. -4)- Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Nov Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity / ` Qf,fL1qraj,)Location and Nature of Proposed Electrical Work: -Q (/� �ii d(e horn( : Completion of the followingtable may be waived by the Inspector of Wires. No.oi Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: _ Detection/Alertin Devices Space/Area HeatingKWn=ip �r No.of Dishwashers p "cal 0Connection 0 HeatingAppliances K V Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of Ro.of Data Wiring: Heaters Signs Ballasts 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 l i 'cal Work: >5 O - (When required by municipal policy.) Work to Start: i i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE 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. CHECK ONE: INSURANCE I BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and comple FIRM NAME: Cave Cod Electrical LIC.NO.: 2 2 6 4 2-A Licensee: N i c k McElroy Signature nature -�� -- LIC.NO.:670 Al (Business) (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 508-566-4489 Address: 381 Old Falmouth Rd.Ste 32 Marston Mills,MA 02648 Alt.Tel.No.: *Per M.G.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 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)0 owner [j owner's agent. Owner/Agent PERMIT FEE:$ . Signature Telephone No. Email: Office@capecodeiectrician.com