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Home My WebLink AboutBLDE-22-002377 Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-22-002377 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:10/26/2021 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) 54 BOXBERRY LN Owner or Tenant Arthur Jones Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap riate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ o.o New Service Amps Volts Overhead 0 Undgrd 0 o r0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 4 *.,4 )1 tO' 8f) Completion of the followingtable maybe n ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lig g 2 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 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Ballasts Data Wiring: Heaters ,Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 of perjury,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 my 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 t0 (p/*/' (u/ aid) ConunonwaaUh of//[aaacituasfia Official Use Only '• a m ' `�sParttnant o� firs. Permit No. 7/_-Zy J 77 srvics6 l' " Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/t)7J leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE LL INFORMATT!,Opl) Date: A (? o2/ City or Town of: C�rk1i 01i(, t%'�)) To the Insp ctor f Wires: By this application the undersigned ' es notice of his or h7intention to perform t electrical work described below. Location(Street&Number) 5'f S0 X e rri C6 Owner or Tenant 4'.(4f7, O V7-e Telephone No. Cb Owner's Address Is this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Co ire s -l°/C /7Ü j� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cetl.-Susp.(Paddle)Fans No.of KVA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmtn Above In- No.of Emergency Lighting g Pool 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. Toni No.of Alerting Devices No.of Waste Disposers Heat Pump Number[Tons KW No.of Self-Contained Totals:, Detectlon/AlertipgDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Oth r Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'felecommunfcatlons Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectri l Work: f,5 ' O ' (When required by municipal policy.) Work to Start: 0 Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrical �- LIC.NO.: 2 2 6 4 7-A Licensee: Nick McElroy Signature �- --�' ____v. . 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 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: 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ J ' Email: Office@capecodelectrician.com