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Home My WebLink AboutBLDE-23-004989 Commonwealth of Official Use Only L. Massachusetts Permit No. BLDE-23-004989 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:3/10/2023 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) 80 ELDRIDGE RD Owner or Tenant SERENA PETER J CO-TRS Telephone No. Owner's Address SANFORD ELIZABETH S CO-TRS, 1319 GLENGARRY DR, PALM HARBOR, FL 34684 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm 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 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 1 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 Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 ❑ 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 � � ? k - 2 > 14 y� Official Use Only Cenurwruu.a�o`/y//aesacr'iue.11e c.. •r cc77 Permit No. .Z'5'(-n g i 2eparbsenl o`Jire.Services t 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 ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL NFORMATION)) ,/ Date: •j 6 d 3 City or Town of: ckne't 0(M. To the Inspe for o Wires: By this application the undersigned gives tice of his or her intentio to perform the electrical work described below. Location(Street&Number) 1� ,e1r0 e l e Pot- Owner or Tenant €1, ZQ_r�(�}�� 1 (� Telephone No. 7• 7 9 1• 7/ej Owner's Address Is thisnc permit in conjution wVh a btlllplag rmlt? Yes ❑ No ® (Check Appropriate Box) Purpose of Building ((e/)yrsI?I4TI Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters r (�(e Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters _ DJ( 441 ber of Feeders and Ampacity>I 'q t a ation and Nature of Proposed Electrical Work: LA j l re se 10-fie T^ kill p lhl' "�� Completion ofthefolowtnZtable may be waived by the Inaror of Wires. U - No. .of Recessed Luminaires No.of Cell:Sum.(Paddle)Fans Transsformers KVA w 1 .of Luminaire Outlets No.of Hot Tubs Generators KVA .of Luminaires SwimmingPool Above ❑ In- ❑ No.or emergency Lighting grad. grad Battery Unite No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones d No.of Switches No.of Gas Burners No.of Daevices Devices No.of Ranges No.of Air Cond. Toaleil No.of Alerting Devices No.of Waste Disposers 'Heat Pump Number Tons,,,,,,KW,., 'No.of Self-Contained P� Totals: . Detecdoa/Alet evices No.of Dishwashers Space/Area Heating KW Local❑Systems:* nacllsei ❑� No.of Dryers Heating Appliances KW Security f esor 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 Equivant OTHER: 1*O 0•fp Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectric I Work: (When required by municipal policy.) Work to Start: $ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C E 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® BOND 0 OTHER 0 (Specify:) I ce►tI y,under the pains and penalties of perjury,that the Information on this application Is true and comple FIRMNAME: Cape Cod Electrical LIC.NO.: 22642,A Licensee:Nick McElroy Signature LIC.NO.:87°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 Mils,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: 1 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 downer's agent. Owner/Agent I PERMIT FEE:$ 5-0•60 Signature Telephone No. Email:OMce@cspecodelectriclan.com F . • • F". F v `I.p " `e * A' . I s _ - S x s .I, . r r