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HomeMy WebLinkAboutBLDX-23-15804 (2) Commonwealth of Official Use Only E "i ' Massachusetts Permit No. BLDE-23-002439 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:1 1/3/2022 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) 80 MATTAKESE RD UNIT Owner or Tenant GREAT POINT VILLAGE CONDO Telephone No. Owner's Address CONDO MAIN, 80 MATTAKESE 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: 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 10 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 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 ❑ 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 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. I PERMIT FEE: $80.00 I t..ommonaveanh.of r/laeeachueette Official Use Only- {t c� �a Permit No. � 7, Z Xy r. � apartment el ire Serviced BOARD OF FIRE PREVENTION REGULATIONS [Reevv.Occupancy and Fee Checkedn ) '''',""��' (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 Ct 4R 12.00 (PLEASE PRINT IN INK OR TYPE L INFORMATIO ) Date: `d as//p? Q. City or Town of: A rn 0 krill To the Inspe for of Wires: By this application the undersigned gi s notice of his or he inte tion to perform the electrical work described below. Location(Street&Number) $Y) 14, am ji y 'S- w Owner or Tenant Gr- * aRp0 A� ��j �r'. r IN 0 w (,Telephone No.soa'� '• G.oneOwner's Address_ .., ' f"I'a., Is this permit in co* ction with a building per it? Yes 0 No Er (Check Appropriate Box) � Purpose of Building 6rL a. C?) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , t 'a,u /,O if(...t.) ("`� ra-7/0V Completion of thefollowingtable may be waived by the In�s for of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ J . ❑ No.or emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Cas Burners 'No.oibetectlon and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'Beat Pump Number 'Irons FAY 'No.of Self-Contained Totals: "''''' """""""'+Detection/Alertig_�Devices No.of Dishwashers Space/Area Heating KW Local❑ MunTcipttl GontseMl�n 0 � No.of Dryers Heating Appliances KW Security Sy ms: No.of Water No.of No.of Devices or Equivalent Heaters KW Signs NBo.of Data Wiring: No.of Device!or Eqquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunkations Wittig: No.of Devices or Equivalent OTHER: .�/ co Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Elec 'cal Work: c4 0 0 ' (When required by municipal policy.) Work to Start: Id () a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 (J BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaliles of perjury,that the information on this application is true and cantg/e FIRM NAME: Cave Cod Electrical LIC.NO.: 22ti42.A Licensee: jJ i c k McElroy Signature /1 ..--- LIC.NO.:67°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 Mitts,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 ij owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 3'0•ov Email: Office®capecodelectrician.com