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Home My WebLink AboutBLDE-23-005636 Comnwnweat Of/r/aeeachaatfte Official Use Only �// Uri Apartment c7 �a Permit No. E 23 6 3Sn Aparti ent aJire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ]Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE A INFORMATIO,N�1)) JI Date: 'Y , a3 City or Town of: f Pi 11i D UIJt-n To the Insp ctor o Wires: By this application the undersigned give notice of his oc her i te/nt'io,n to perform the eell(ctrical work described below. Location(Street&Number) A'1 ki I"T cti W 0 Q d /-�(/. rt�� Owner or Tenant �ts\i'1IC�.1Q.. !tit(ASS A /��/�7r.-f-0 Telephone No.77 • 17 1719.51 (/93, Owner's Address Is this permit in conjunctio with a bulldint perm ? Yes 0 No 5 (Check Appropriate Box) Purpose of Building /ce5(G1..e 11T(a.,� Utility Authorization No. Existing Service Amps / Volta Overhead 0 Undgrd❑ No.of Meters New Servlcc Amps / Volta Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Locatii and Nature of Proposed Iectrllcai Work:715-/- I( G{/Jy��,,r�Ce �f a ilt,e r.e ile r e K aid vQysseo( I(8/kis t nictJ 0 (4-1s Completion of the following table may be waived by Me Ins for of Wires. No.or Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.or emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.InDete and Initiatingon Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Hat Pump Number Tons_....,.,KW,,,.,.,...No.of Self-Contained Pose Totals: Detectioa/Ale rjpgJ)evices No.of Dishwashers Space/Area Heating KW Local 0 M nntciPall 0 fir Rim HeatingAppliances KW l Security Syysstteemms: No.of DryersNo.of I ell vices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sims Ballasts No.of Devices or Esiurilvpalent No.Hydromasage Bathtubs No.of Motors Total HP Tel No.oof Devices or RR�'urilalent OTHER: Attach additional detail if deslred,or at required by the Inspector of Wires. Estimated Value f lectrical Work: 57�.�' (When required by municipal policy.) Work to Start: /f Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee prov des 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❑ OTHER❑ (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 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*Mitts,MA 02648 Alt.Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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,)hereby waive this requirement. 1 am the(check one)❑owner 0 owner's agent. Owner/Agent (PERMIT FEE:$ ��•00 Signature Telephone No. Email:Offlce@capecodelectrlcia n.com Commonwealth of Official Use Only �t Massachusetts Permit No. BLDE-23-005636 _ 4,...-' 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:4/10/2023 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) 84 WITCHWOOD RD Owner or Tenant JOSIMAR MUSSATO Telephone No. Owner's Address 84 WITCHWOOD ROAD, SOUTH YARMOUTH, MA 02664 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 ❑ 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, recessed lights, &outlets. U gat Completion of th w y Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Total Tram r4a KVA No.of Luminaire Outlets No.of Hot Tubs Generators �VA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergenc l f grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of , 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 ❑ 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 Siens 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 ❑ (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