HomeMy WebLinkAboutBLDE-21-003243 Commonwealth of Official Use Only
0....,1 Massachusetts Permit No. BLDE-21-003243
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:12/7/2020
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) 30 HARPOON LN
Owner or Tenant KENNELLY JOAN WHITNEY TR Telephone No.
Owner's Address KENNELLY FAMILY RLTY TRUST, 8 IRONWOOD CT, YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr iate Box)
Purpose of Building Utility Authorization No. Q j/
Existing Service Amps Volts Overhead 0 Undgrd 0 .o
New Service 100 Amps Volts Overhead 0 Undgrd 0 of
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement service. ‘4?2)
Completion of-the:following table may be Aph . n7 of Wires.
,?*
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ii i tal
Transformers %
No.of Luminaire Outlets No.of Hot Tubs Generators
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 ❑ Municipal ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water 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:
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
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
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BOARD OF FIRE PREVENTION REGULATIONS Rev,1 y Fee Checked
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME 5 7 CMR 12.00
(PLEASE PRINT iN INK OR TYP ALL INFO' it ION) Date: /2 / 4,?-(-)
City or Town of; CcAi4vo - To the Inspe for of Wires:
By this application the undersigned veer notice o his or er intention to perform the electrical work described below.
Location(Street&Number) SO Cylt pc0In L-.<-tii,C,�
Owner or Tenant �0 dd._ .P�n-e. I ray Telephone No.01.360.3[O7
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building Utility Authorisation No.
Existing Service 16°, Amps / VoltsOverhead d Uadgrd❑ No.of Meters —
New Serifs .1 OV, Amps / Volts Overhead al Uedgrd❑ No.of Meter —
Number of Feeders and Ampacity /�."'"
Location and Nature of Proposed Electrical Work: Aoricam_ /As p OVIA,I' Ac X 6e41.4.ce
Completion of*Ibllowin iabk m be waived by the inspector of Wirer.
No.of Recessed Unalaska No.of CeiL-Sesp.(Paddle)Fans Trap former KVA
No.of Luminaire Outlets No.of Hot nibs Generators KVA
Na of Lrmhsalree Swimmdag Pool Above 0 In- No.6T Marginal ugating
trod, Brad. *Miry Uoia
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones
*Ao.of Detection and
No.of Switches No.of Gas Boaters lit pg Berke*
Na of Ranges No,of Air Cond. Total
No.of Alerting Device'
Na of Waite Disposers VMTgMmlp iNt,Lmier}.og ]KW.._ No.ot�ailfintaIneed�y
No.ofDahwashere Space/Am Heating KW L.ocalpala�l~la 0 Other
Na of Dryers Heating Appliances KW "No. vice or Equivalent
'No.of Water KN, No,of No.of Data Wiring: EFWW�qpp Haan Signs Balla ts No,Telecommunications
O Wiring. —
No,Hydromaesage Bathtubs No.of Motors Total HP N
OTHER:
Attach additional detail lfdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: a3O0'- (When required by municipal policy.)
Work to Start: ro rate Inspections to be requested In accordance with MEC Rule 10,end upon completion.
INSURANCE CO 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 al BOND[] OTHER❑ (Spool*,)
1 are,tinder the palm arc/penabNs of perjury,these the lrt/no allow ate this appllcetlon is trite and complete.
FIRM NAME:Sisve Cod Eiectr[cai LiC.NOa 22642-A
Licensee:Nick McElroy Signature�� LiC,NO.:
(If applicable,enter"exempt"in the license number lbw) Bus.Tel.No.: 508-566-4489
AddraeetP,O. Box 1594 Marstons Mills MA 02648 Alt.Tel.No.:_
"Per M.O.L.c.147,e:57.61,security work requital Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: Ism aware that the Licensee does Oct have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check ono)0 owner 0 owner's agent.
Owner/Agentestur f PERMIT FEE:$ .d•c'
Slgrature .___.___ _Telephone No.�,
Email:Offlce(a}capecodelectrlci a n.com
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