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HomeMy WebLinkAboutBLDE-23-006154 0 Commonwealth of Official Use Only ‘ '- Massachusetts Permit No. BLDE-23-006154 e°"° 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:5/7/2023 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) 45 PRINCE RD Owner or Tenant ZORZI FAMILY LLC Telephone No. Owner's Address 45 PRINCE RD, WEST YARMOUTH, MA 02673 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: Replace 200 amp panel. 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 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent KW No.of No.of Ballasts Data Wiring: Heaters 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 (Specify:) I certify,under the pains andpenalties o ( p )f 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.) 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: $50.00 CK 417 Z-3 9'17)-'5 t%"k c2 (7 z- Contmonweahh o////aesaceetie Official Use Only Occ\1 >r i ''m Permit No, Z3 ( 94 ; epartmant ot�ire Spaces BOARD OF FIRE PREVENTION REGULATIONS j I 44, upancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR I%•O0 (PLEASE PRINT IN INK OR TYPE AFL INFORMATION) Date: i j i1��"J 07 .3 City or Town of: ' Cif V/V1,0�(44 To the Inspector of Wires:: By this application the undersigned gives)notice of his or h intention to perform the electrical work described below. Location(Street&Number) ' t iJ Pt'l7 ee ' Owner or Tenant 1. -iv 2-°Y.Z. / Telephone No1/3•g'So3 'S/45 Owner's Address Is this permit In conjunction w h a buiiding permit? Yes ❑ No [ (Check Appropriate Box) Purpose of Building WAS( 'f7eteL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd New Service g E] No.of Meters Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ation and Nature of Proposed Electrical Work: Rf(oi..te a 00 p„r, p aft ?me/ II" �/1 "1 I w I ' ; ev, 2 Completion of thefollowingtable may be waived by the In�s error of Wires. > i N >'l o.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.,- Transformers Total i Transformers KVA iiJ � o.of Luminaire Outlets No.of Hot Tubs Generators KVA (.3 o li o.of Luminaires Swimming Pool gAbove ❑ In- © 'No.or emergency Lighting LJ.I I grad. Battery Units f 1�o.of Receptacle Outlets No.of Oil Burners FIRE ALARMS Ld No,of Zones Iso.of Switches No.of Gas Burners No.ofbetecdon rs Initiatina_Devlces No.of Ranges No.of Air Cond. ToTons iNNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tona 1 I{V1r 'No.of del!Conhtned Totals:. f. . .....•.....,.•.. ....•..•.•,..•........ Detection/AlertiFpia Devices No.of Dishwashers Space/Area Heating KW Local❑ Nfun Connection ❑ outer No.of Dryers Heating Appliances KW Securl(y Systems: No.of Water N .of No.of Devices or Equivalent No.of Heaters KW Signs Ballasts No. Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP "I•efecommunicajops Wir n : No.of Devices or Equivalent OTHER: �'N Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Elec ical Work: �j 500 Q1� (When required by municipal policy.) Work to Start; 5 a3 Inspections to be requested in accordance with MEC Rule 10,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 ® BOND 0 OTHER :) 1 certify,under the pains andpenalties o 0 f perjury,that the information on this application is true and comple FIRMNAME: Cape Cod Electrical LIC.NO.: Licensee: 2 2 6 4.2.A N i c k Signature_ , - ,,----- LIC.NO.:$7°Al (Business) (If applicable,enter "exempt"in the license number line.) Address: 381 Old Falmouth Rd Ste 32 Marstons Mills,MA 02648 Bus.Tel.No.: ,508-566-4449 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.Lie. c.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 Q owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 50, d O I Email: Office@capecodeiectrician.com