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Home My WebLink AboutBLDE-23-005817 ►i\' Massachusetts) Commonwealth of Official Use Only 1 Permit No. BLDE 23-005817 %ZTi 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:4/20/2023 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) 20 DOVE LN Owner or Tenant PAUL PARKCSWICH Telephone No. Owner's Address 20 DOVE LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ 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 EV charger. 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 1 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 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. PERMIT FEE: $50.00 //__ (crn- ((Z5 e f ' R-vr,t - iA) Conunonuw.ad h.oil Y/assac/uueette Official Use Only ,• .1 2� _9°0 • apartment 0 s Permit No. t ( 1---( " �+ • riiiunt o ire Spokes Occupancy and Fee Checked `, ,. . BOARD OF FIRE PREVENTION REGULATIONS jRev, l/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC ,5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / `/ p13 City or Town of: �7�{1'Y17 D (.4-/ To the Ins ecto of Wires: By this application the undersigned givesiaiftice of h'•or her intention to perform the electrical work described below. Location(Street&Nu ber) d a V iC(11 Owner or Tenant C(LIL c r k t S kit Telephone No.zrjd� &V / . ya 1/4. Owner's Address Is this permit in conjunc on wit building permit? Yes El1J No (Check Appropriate Box) Purpose of Building Y O 1a Q `a..( Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd El No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 5-f M 'Ev oec ge'- Completion of the following table may be waived by(the invecfor 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- ❑ two.bi Emergency Lighting grid, grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones Na.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond, Total No.of AlertingDevices Tons Na,of Waste Disposers Rat Pump Number Tons KV{ Pro.ofSel1-ContaTned Totals:_ ..... Detection/Alertipgi Devices No.of Dishwashers Space/Area Heating KW Local 0 14unftpa CQ :nection ❑ Other No.of Dryers Heating Appliances KW *Security of r vices or Equivalent No.of Wilier 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: At-IAttach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectrica Work: I adj5 ' (When required by municipal policy.) Work to Start: a ( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ERA 0E: 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 Q BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and comple FIRMNAME: Cane Cod Electrical LIC.NO.: 22642.A Licensee: Nick McElroy Signature -Z _----- 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 Marston 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 Q owner's agent. Owner/Agent Signature Telephone No. ` PERMIT FEE: $ 50•CrO Email: Office@capecodelectricIan.com