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Home My WebLink AboutBLDE-23-005904 os r Commonwealth of Official Use Only 4411 Massachusetts Permit No. BLDE-23-005904 • 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:4/24/2023 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) 68 MATTAKESE RD —PC aexa t t CA. ' s1 SC 2.-394S Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 12752317 Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 o.of Meters Number of Feeders and Ampacity /Q Location and Nature of Proposed Electrical Work: Replace exterior meter&riser. Install receptacl= •r c y a Completion of the fo ali* ..1 Ov:%Alik , ,•ctor of Wires. it- Paddle Fans No.of Ati‘• `4? ir No.of Recessed Luminaires No.of Ce . Susp.( ) TransformeNo.of Luminaire Outlets No.of Hot Tubs Generators O No.of Luminaires Swimming Pool `,rnd.e ❑ I rnd. ❑ No.of Emergency Light] € It Battery Units \v� O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ' No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 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 -- dv Official Use Only Cammomaeakh o`Me rise a tided �yy I '• .7 cyy, cc77 n Permit No. C�2i?j-91,0(4' w .Department a`Jiro Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07l (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusens Electrical Code(MEC),5 CMR 12.00 (PLEASE PRINT IN INK OR T ALL INFORMATION) Date: t//7 a2 3 or Town of: aleVyt 0(,( l To the In ecto of Wires: By this application the undersign ryes noticetii of h/ins'or her n ention to perform theelectrical work described below. Location(Street&Number) (P b (//+e! es /t Owner or Tenant ��17 /f-G Vl- Telephone No.Cspir•Y4er•5703 Owner's Address Is this permit in conjunction with a building permit? Yea ❑ No rg (Check Appro n ate Box Purpose of Building Utility Authorization No. /a (6-L+� _. /7 Existing Service Amps / Volts Overhead E Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampsclty Location and Nature of Proposed Electrical Work:knee¢ l�,x-kx icy' (M.e k.& •4 r't -ei1- 1' d Co- 0 Ih Co-6iti-e • 'or kit ic,r0I,n,av-e Completion ofthefollowingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.•SusP (P. addle)Fans No.of Transformers K KVVA A No.of Luminaire Outlets No.of Hot Tubs Generators KVA PoolAbove In- No.of Luminaires Swimming grnd. gra d [ NBaottor yg Uoerg laency Lighting No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas BurnersTeo.of Detectionand Initiating Devices No.of Ranges No.of Air Cond. T nl No.of Alerting Devices No.of Waste Disposers Heat Pump Number,.Tons KW No.of Self-Contained P� Totals: Detecdon/Alerdpa pevica No.of Dishwashers Space/Area Heating KW Local 0 Co peelp alon 0 Other No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water Kµ, 'No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications of Devices or Equivalent OTHER: AI Attach additional detail(f desired,or as required by the Inspector of Wires. Estimated Value o Elect'cal Work: aiN 60' (When required by municipal policy.) Work to Start: r/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V 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 compte FIRM NAME: Cane Cod Electrical LIC.NO.: 22642.A Licensee:N i c k M c Elr o y Signature ./L __ 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 Marstcos Mills,MA 02848 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 ��, Signature Telephone No. PERMIT FEE:$ Email:Office®capecodelect ricia n.com