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HomeMy WebLinkAboutBLDE-23-001562 Commonwealth of Official Use Only . , Massachusetts Permit No. BLDE-23-001562 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:9/26/2022 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) 665 WILLOW ST Owner or Tenant NEWTON ROBERT L Telephone No. Owner's Address WEISS MARSHA E,405 FRONT ST, LINCOLN, RI 02865 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install whole house generator. 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 1 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 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: $50.00 tom' LLI ' 541- � , ,) eeb l( f t(Z lit- Commonwealth o`Maeeachadette Official Use O y 1• ' .1 ryy nn Permit No. 2-I'D(.0 Z- B� 2rpartrnent el3ity Jeevkao I1 '' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: // a a City or Town of: L&file 0� To the Inspector of res..By this application the undersigned gives no ce of hh''s or her intention to perform the eleccttri,l work described below. Location(Street&Number) CO to 5 1 i//ow rsZT- Owner or Tenant )q o ..e.kJ 4-0 P) Telephone No.5Qi•a rf 7.33&;;; Owner's Address r�,/ Is this permit in conjunction with bundling permit? Yes ❑ No (� (Check Appropriate Box) Purpose of Building 1Qe$( en t/6L L. Utility Authorization No. Existing Service Amps / Volts Overhead E Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work:all 544l( U,Ii di< hoary ) 7.P I'..e4,Gf/41ry•• Completion of the followin,table mg be waived by the Inspector of Wires. No.of 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- 0 No.of Emergency Lighting ernd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.In Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons! No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons,,,_....KW No.of Self-Contained P Totals: Detection/Alertiln!g.Devices No.of Dishwashers Space/Area Heating KW "cal 0 Volnne tin 0°ther No.of Dryers Heating Appliances KEY Sec Ns:* o.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa aBathtubs No.of Motors Total HP 'telecommunications fDevictsorEquly y g No.of Devices or Equivalent OTHER: vO Attach additional detail I(desired,or as required by the Inspector of Wires. Estimated Value of teethe I Work: '/0 0' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 certify,under the pains and penalties of perjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrical LIC.NO.: 22642-A Licensee: Signature LIC.NO.:67°Al(Business) Nick McElroy 8 —� ---�� (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 0 owner's agent. Owner/Agent I PERMIT FEE:$ ��.00 Signature Telephone No. Email:Office@capecodelectrician.com