HomeMy WebLinkAboutBLDE-23-15999 6/6/23,7:03 AM about:blank
� � Commonwealth of Massachusetts �o, Y`l
o* Town of Yarmouth .�` . $ELECTRICAL PERMIT Job Address: 45 ICE HOUSE RD Unit:
Owner Name: BEATTY ARTHUR J BEATTY CECILIA F
Owner's Address: 45 ICE HOUSE ROAD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15999
Existing Service Amps/Volts Overhead❑ Underground 0 No.of Meters:
New Service Amps/Volts Overhead❑ Underground ❑ No.of Meter
4/
Description of Proposed Electrical Installation: On demand water heater
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: 1 KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: , Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.0 Above-Grnd.0 Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: , Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 700 Work to Start: June 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NICHOLAS MCELROY License Number: 22642
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Sandwich, MA, 025632606 Sandwich MA 025632606 Fee Paid: $50.00
Email: office@capecodelectrician.com Business Telephone: 508-566-4489
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.
INSURANCE:
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• 1 C' fOfficial Use Only ('�7,
ommaruuea of aswc aotla 6� —(scr4 1�c77 Permit No.
*' ry .department o`Jlre Servriced
�t Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 1Rev.1/071 (leave blank)_
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00
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(PLEASE PRINT IN INK OR TYPE ALL INFORMATI Date: ��
City or Town of: Ni Ct41'V1,0(.4,_ Vl To the Inspecto of Wires
By this application the undersigned gi es notice his orother intention to perform the electrical work described below.
Location(Street&Number)_ n d—� OLtS-e /'S(�-
Owner or Tenant -t ab tvi (7"P Telephone No.3(,/54F-6q 7
Owner's Address �/
Is this permit in conjunction twit a building permit? Yes ❑ No L1 (Check Appropriate Box)
Purpose of Building QSj(Q Cfi( Utility Authorization No.
Existing Service " Amps / Volts Overhead❑ 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: u)j(E ... -01.1 tuewC
Completion of thefbilowin table may be waived by the Ins ctor of Wires.
—Iklo,or Tote
No.of Recessed Luminaires No.of CeBsusp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool trod. ❑ grad. ❑ Battery Units
No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Tones
'No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Air Cond. Total No.of Alerting Devices
No.of Ranges TM
Heat Pump Nampgr Toad,.,,,..KW No.of Self-Contained
No,of Waste Disposers Totals: Detection/Alerdr Devkes
No.of Dishwashers Space/Ares Heating KW Local❑Conooetion 0°gm.
HeatingAppliances KW "Security Systems:*
No.of Dryers Pp No.of Devkes or Equivalent
No.of Water "No,of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Egguivadent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or to required by the Inspector of Wires.
Estimated Value of Electrical Work: 100•0° (When required by municipal policy.)
Work to Start: (ol!io t,3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVE 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❑ OTHER❑ (Specify:)
I certify,under the pains and penalties of perjury,that Me information on this application is true and crimple
FIRM NAME: Cane Cod Electrical LIC,NO.: 22642.A
Licensee:N i c k M c E l r o v Signature ,� _.----'"`
LIC.NO.:670 Al(Business)
(If applicable.enter"exempt"In the license number line.) Bus.Tel.No,' 508.566-4489
Address: 381 Old Felmoulh Rd Ste 32 Merttons 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: lam aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,1 hereby waive this requirement. I am the(check one)❑owner owner's agent.
Owner/Agent I PERMIT FEE:3' Jae
Signature Telephone No,
Email:Offlce(q?capecodelectrician.com