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Home My WebLink AboutBLDE-23-005748 1 Commonwealth of 1--i--,4'.4,1 lA. Massachusetts Official Use Only v� Permit No. BLDE 23 005748 w-.' 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:4/14/2023 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) 11 NANAS WAY Owner or Tenant DAMERY DANIEL J Telephone No. Owner's Address 11 NANAS WAY,WEST YARMOUTH, MA 02673 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 7 No.of Meters /�� New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters // 42,Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work: Mini-Split system. `` /�- Completion of the following table may be waived 'tMe Inspector'of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA.l No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ ln- ❑ No.of Emergency Lighting grnd. grad. 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 Initiatine 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: 1 Detection/Alertine 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 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 Al os<<fss Commonweal.o////adeaclraeelie Official Use Only • i ryry, Permit No. �Z3'57`�'S eI 211parinuni o`gin�twkee 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 CMR I2.00 (PLEASE PRINT IN INK OR TYPE LL INFORMATION) / Date: City or Town of: C(,K Ii%in To the Inspector of Wires. By this application the undersigned es notice of his or her intenti6/nn to�perform� the electrical work described below. Location(Street&Number) lS LC)G-y Owner or Tenant D n1 I.' /41e✓y. Telephone No. Sog•`�-f6 /1 7 Owner's Address J ry/ Is this permit in conjunction with a building permit? Yes 0 No [E (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters New Servict Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W/re Y,v� spi?,e Completion of the followln table may be waived by Me Inspector of Wires. No.of Recessed Luminaires No.of Cell-Sua.(Paddle)Fans Transformers KVTotA P KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimming Pool Abovegrnd. ❑ In-grad. ❑ Ba No.tt oerery EmerUnitsgency Lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners . oni�eten InInitiatingInitiatingg Devices avievic s No.of Ranges No.of Air Cond. Total No.of Alerting Devices Disposers Totals: Rs No.of Waste Dls rs Heat Pump Number Tons,.._,KW No.of Self-Contained 0 "' DetecagR/Alerpevkp No.of Dishwashers S ce/Area Heating KW Local❑Zinn nlectp l ❑Other No.of Dryers Heating Appliances KW Security S rY No.of vhxe or Equivalent No.of Water KW -No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent , Telecommunications Wiring: No.Hydromaaage Bathtubs No.of Motors Total HP No,of Devices or Equivalent OTHER: Attach additional detail((desired,or as required by the Inspector of Wires. Estimated Value of lec 'cal Work: /tOO•GA (When required by municipal policy.) Work to Start: /7 .z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V 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® BOND 0 OTHER❑ (Specify:) I certify,tinder the pains and penalties ofperjury,that the information on this application is true and cotapie FIRMNAME: Case Cod Electrical LIC.NO.: 22642.A Licensee:N i c k M c 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 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:$ 54"A) Signature Telephone No. Email:Office@capecodelectrIcian.com