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Home My WebLink AboutBLDE-23-002266 - ,V.,(1 Commonwealth of Official Use Only :..r, Massachusetts Permit No. BLDE-23-002266 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:10/27/2022 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 ROUTE 6A Owner or Tenant ALBERT STARKEY Telephone No. Owner's Address 55 MAIN ST,YARMOUTH PORT, MA 02675-1620 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: Install manual transfer switch. 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 ❑ 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 1 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 ❑ 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 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 ❑ 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.U.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 &A A 1f j _ _ CB� / Official Use Only ommonuiealLh of a��acahusett� Permit No.t?{�-5''�`-t7k iit si .1Jepartment of_.tire Jsrvieo4 -•rar= Occupancy and Fee Checked ' [ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) n..tYr v4 APPLICATION FOR PERMIT TO PERFORcMalcode ELECTRICAL WORK All work to be performed in accordance with the Massachusetts El (PLEASE PRINT IN INK OR TYPE AL INFORMATION)� � / Date: (0 (1-- tea- City or Town of: Q. WI ti L'(.4:''1 To the Insp for of Wires: By this application the undersigned gives otice of his or her ntion to perform the electrical work described below. Location(Street&Number) &- (0r ' I �- L�- J.Q- K-e(/ Telephone No Q Jr Jr • / Owner or Tenant L ,��ff Owner's Address 127. (Check Appropriate Box) Is this permit in conjunction with a building permit.o Yes El No Utility Authorization No. Purpose of Building Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity y, ( " 1 tI u�� ! Location and Nature of Proposed Electrical Work: ` e i J( G/lU 4. e4 Completion of the followin. table may be waived by the Inspector r of Wires. No.of T 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 grnd. ❑ grnd. ❑ Battery Units No.of Oil Burners FIRE ALARMS (No.of Zones No.of Receptacle Outlets No.of Detection and No.of Switches No.of Gas Burners Initiatin I Devices ota No.of Alerting Devices No.of Ranges No.of Air Cond. Tons eat"'ump `um s er ons " `o.o e - onta ne' No.of Waste Disposers Totals: Detection/Alertin, Devices `tin c pa No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other Heating Appliances KW ecur ty ystems: No.of Devices or E•uivalent No.of Dryers ' •o,o Data Wiring: "o.o "titer KN, o.o Heaters Si ns Ballasts No.of Devices or E s uivalent e ecommunicahons"" r n : No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or E 6 uivi Tent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectri t Work: ,4 —~ .._ D . (When required by municipal policy.) Work to Start: /0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 1'E GE: Unless waived by ner�omple no tedt for the operationercoverage or itsance of ectrical work substant al equivalent.ay The the licensee provides proof of liability insuranceincluding undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND El OTHER El (Specify:) !cation is true and romple I certify,under the pains and penalties o perjury,that the information on this app ' Bus.Tel.No.. gOg_5 LIC.NO.: 2 f 4 2-A, N FIRM NAME: Ca e Cod Electrical LIC.NO. 2 Al (Business} Licensee: i c M E 1 r Signature ,-/ ---`'�J : usm (If applicable,enter "exempt"in the license number line.) Alt.Tel.No.: Address: 381 Old Falmouth Rd.Ste 32 Marstons Mins.MA 02848 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. nsurance rmally OW NER'S INSURANCE WAIVER: I am aware that the Licensee does not amave the e(check ony)i❑owner coverage erageno agent. required by law. By my signature below,I hereby waive this requirement. PERMIT FEE: $ 5(�•0� Owner/Agent Telephone No. Signature Email: Office@capecodelectrician.com