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Home My WebLink AboutBLDE-21-005497 a• Commonwealth of Official Use Only "L - Massachusetts Permit No. BLDE-21-005497 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:3/24/2021 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) 32 ERICKSON WAY Owner or Tenant Lyman Black Telephone No. Owner's Address 32 ERICKSON WAY, SOUTH YARMOUTH, MA 02664 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 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: Install generator. 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 1 KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. 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. 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 KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.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 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 ofperjury,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.) Bus.Tel.No.: Address:31 Captain Carleton Road, Cotuit Ma 02635 Alt.Tel.No.: *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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 4cp q-2.4(1,..,i, to �` �// J1kdl�d Official Use Only�—....__y._ .-._.._ */ Commoruueallh o/i itadl A Permit Na.(� ' �� 7 „t .1Japar+ime�of.9iry�'Chervkee cupancy and Fee Checked 1/4 BOARD OF FIRE PREVENTION REGULATIONS ROovc. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE AL INFORMATION) Date: 3 oZ a/ City or Town of: Gc-�( 0, To the Ins ctor of Wires: By this application the undersigned gives otice of his o 'er in a tion to perform the electrical work described below. Location(Street& Number) 67,1,1 6 Owner or Tenant 1,.. 1(41,C01 —8. C.c C/ _ Telephone No.?/o2 6 54• 17O Owner's Address _ 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❑ No.of Meters NM Servic4 Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a(i 4,- uditoco hoe (-sync,T4d '- _ Completion ufthefollowing cable may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans Trap ftrmers KVA No.of Luminaire Outlets No.of Hot Tabs Generators KVA No.of Luminaires SwimmingPooi Above In- ❑ n(o.of Eihergency Lighting "- arnd. and. ,50e1: Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.ofD.�enl:on Anti Iaitiatlur j?}vkes No,of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers `Reat7ruu�p-Rumber„Tons., , KW. ,, iNorS.oelf-Contained P� Totals:, _ pifectiDevlces t No.of Dishwashers Space/Ares Heating KW Local 0 ivfisam0 Other No.of DryersHeating Appliances KW Ni t rent 9r EauiveJent No.of Water No.of No.of Data Wiring: Heaters K�' Signs Ballasts Nip.of gr Vagivilent No,Hydromassage Bathtubs No.of Motors Total HP TeleNco,of Davitt's.orEQpivlrlent OTHER: Attach additional detail(f desired,or as required by the Inspector of Wires. Estimated Value of Elecu cal Work: 7gCl7' (When required by municipal policy.) Work to Start: 3 3( ,2. Inspections to be requested in accordance with MEC Rule IQ,and upon completion. INSURANCE C 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, CHECK ONE: INSURANCE 133 BOND 0 OTHER 0 (Specify;) I certify,under the pains and penalties of perjury,that the!ttlormaalon on this application Ic true wed complete. FIRMNAME: Cane, Cojl Electrigal LIC.NO.: 2 2 6 4 2-A Licensee: N i c k M c E 1 r o v Signature /(le LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.t 508$15 8Q Address:P,O. Box 1594 Mv(ttrtitons Mills MA Q2648 AIt.Te1.No.: . *Per M.O,L.c. 147,s.57.61,security work requires Department of Public Safety"S"License: Lie,No. OWNER'S INSURANCE WALVER: I am aware that the Licensee doss not have the liability insurance coverage normally required by law. By my signature below,i hereby waive this requirement. I am the(check one)(7owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $s-e.ad Email: Offlce@cspecodelectriclan.com