HomeMy WebLinkAboutBLDE-22-005998 Commonwealth of Official Use Only
i: '�' Massachusetts Permit No. BLDE-22-005998
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:4/19/2022
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) 55 MARINERS LN
Owner or Tenant KENNEDY JAMES W Telephone No.
Owner's Address KENNEDY MARGARET, 32 HILLCREST ST,WEST ROXBURY, MA 02132
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. 8819313
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service,wire split system&add baseboard heater.
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 g bove ❑ In
grnd.
-
❑ No.of Emergency Lighting
rnd. 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
Initiatine Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
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 0 Municipal 0 Other:
Connection
No.of Dryers Heating Appliances 1 KW Security Systems:*
No.of Water No.of Devices or Equivalent
Heaters KW No.of No.of Ballasts Data Wiring:
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 S eci
I certify,under the pains andpenalties o (Specify:)
fperjuty,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.)
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.
I PERMIT FEE: $50.00
(9 .,b te( f
A ,,rr�� ��ff ry�j r
a wns:m vtaltk o f aaeact'iueoKe Official Use Only
9i 9'46
, epartnwr<t o .rttr+o.J.rtrica Permit No. L
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
• fRev. 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 MR 1 .1+
(PLEASE PRINT IN INK OR TYPE fC /If/t
L RMA TIO�)D_ Date:City or Town of: D LCI- e 7 To the Ins ecto
p r of Weres:
By this application the undersigned giveotice of ' or her e intention to performelectrical work described below,
Location(Street&Number) 56 en Piers
Owner or Tenant S 10 Telephone No.( 9. ''7`ffeas
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No P�4 (Check Appropriate Box)
Purpose of Building Utility Authorization No. Irgl ?3/3
Existing Service j tw Amps / Volts Overhead f It' Undgrd❑ No.of Meters
New Servicg A.bo Amps / Volts Overhead Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location nd Nature of Pr Electrical Work:, r ‘po , 0 G .P ,lit
OD 1'.-+- k.,1' A-PI f w- 0 % M
•1 �► - roen' Completion of the following table me,be waived by the Inspector of Wires.
No.of Recessed Luminaires Na.of Cell,-Soap.(Paddle)Fans Ro.of to
Transformers
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool ee n0 grn4. Q Battery Units
annug
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 'No.of Zones
No,of Switches No.of Gas Burners .ofDefectlon and
Initiating Devices
No.of Ranges No.of Air Cond. Tons Total No.of Alerting Devices
No.of Waste Dlspaaers Heat Pump Number Tons 1RW 'Ni.ofgeif-Contained
Totals:I"'''''*' .....1
tection/Alerd DevicesNo.of Dishwashers Space/Area Heating KW Local 0 l�Tun c pal
COnnicti�rn El Other
No.of Dryers Heating Appliances KW Securftylys(eats:
No.of Water ' No.Of Aevke or rAgivale�tt
'Na.of Na.of
Heaters Signs Ballasts Data Wiring:
Na afeyices olrquivaieitt
No.Hydromassage Bathtubs No.of Motors Total HP �'t'elecotrimun ot1s WWlhine:
No.of Devices or Equivalent
OTHER:
VD Attach additional detail if desired,or as required by the Inspector of Wires
Estimated Value of lect ` al Work: oa'O' (When required by municipal policy.)
Work to Start: 5 2_ 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 al BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perury,that the information on this application is true and ample
FIRMNAME: Cape Cod Electrical
ig _ LIC.NO.: 2 2 6 4 2_A
Licensee:
Nick M c E l r o y Signature LIC.NO.:670 M(Business)
(If applicable,enter"exempt"in the license number line) -
Address: 381 Old Falmouth RdSte 32 Marston$Mills,MA 02648 Bus.Tel.No.: 508.564 4489
*Per M.G.L.c. 147,s.57-61,securitywork Alt.Tel.No.:
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 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$ O•"°
Email: Office@capecodelectrician.com