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Home My WebLink AboutBLDE-23-003517 1 Official Use Only Commonwealth of Massachusetts Permit No. BLDE 23 003517 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:12/28/2022 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) 27 HOLLY LN Owner or Tenant MACOMBER PAULINE(LIFE EST) Telephone No. Owner's Address 115 GLENDALE RD,ATTLEBORO, MA 02703 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: Wire septic pump. 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 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 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: 12/30/2022 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: $50.00 :L L1; 'Z r� 14 COM1MWn1U0a/A o` Official Use Only ' ii, Si cNc'] e Permit No. E23 -35i 7 ..1.Jeparinunl of ,.tire irvicee t, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS IRev, 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 CMR 2.00 (PLEASE PRINT IN INK OR TYPE AL INFORMATION) Date: /1.2 oZ O z- City or Town of: JQ..1V'ill 0 To the Inspecto of Wi es; By this application the undersigned gi notice of his or her jn ntion to perform the electrical work described below. Location (Street & Number) eit7 4 /•/-e, Owner or Tenant J,j �� i Telephone No. 5OS• g • G`f3Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd ❑ No. of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (JJ( r e £-c,i'-6 ( Y1ip p Completion of thefollowingjable m be waived by the in�s ctor of Wires. No. or Total No. of Recessed Luminaires No.of Ceil.-Susp. (Paddle)Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above In- No. or lrmergency Lighting No. of Luminaires 'Swimming Pool grad. ❑ grad. ❑ Batten, Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones n and No. of Switches No. of Gas Burners No. Initiatingof D Devices Devkes No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number TonsW k " No. of S IT-Contained P� Totals: Detection$Iei pm evIces No. of Dishwashers Space/Area Heating KW Local 0 Co nKdon 0 Other HeatingAppliances KW Security Sy ems: No. of Dryers pp No.of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: / pp Attach additional detail If desired, or as required by the Inspector of Wires. Estimated Value of El ctri Work: f /0 ' (When required by municipal policy.) Work to Start: /_ a i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 tia BOND 0 OTHER 0 (Specify:) I certify, under the pains and penalties of pedury, that the information on this application is true and couple FIRM NAME: C a a e Cod Electrical LIC. NO.: 22642 . A Licensee: Nick Mc Elroy 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 Marstons Milts, 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 0 owner's agent. Owner/Agent I PERMIT FEE: $ eo•o-o Signature Telephone No. Email: Office@capecodelectrician.com