HomeMy WebLinkAboutBLDE-22-0068952 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-006892
ems; BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.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:5/30/2022
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) 10 KATAMA WAY
Owner or Tenant NOONAN JAMES E Telephone No.
Owner's Address NOONAN CAREN E, 139 LORDVALE BLVD, NORTH GRAFTON, MA 01536
Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec Ap priate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 's
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Exterior meter repair, add receptacle, add light in atti
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 KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grad. Battery Units
No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
lnitiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
'Ions
No.of Waste Disposers Heat Pump Number , Tons , ION 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 Eauivalent
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 ofperjury,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
AComntonwea64 o`/eiaaeaciiueetia Official Use Only
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• c cc77 nn Permit No. l/2�—(cx i Z
11� .LJeParimeni of Jiraicee
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/O?] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),S 7 CM 12.00
(PLEASE PRINT IN INK OR TYPE A L INFORMATIOINJr Date: 5 a as
City or Town of: air frkt d C/4.6 To the Inspect of res:
By this application the undersigned giv s notice of his or her intention to perform the pyrical work described below.
Location(Street&Number) /O ( c< ma
Owner or Tenant ,_i(gklj e7 S f Jc.Y)4Q h Telephone No. SD Yif J ?S'Lk)
Owner's Address
Is this permit In conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No. L '3 gel 73
Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters
'dew Service Amps / Volta Overhead El Undgrd 0 No.of Meters
Number of Feeders and Ampacity nn�
Location and/Nature of Proposed Electrical Work: A....GVid r t 0 big., imekv /)! 0,,EK
tkT?Ytoy Octf(.eT, cIJ L i j0 4i14J ? /# (?C t',er"
Completion of thefollowinpitable may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cell.-Suap.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above In- a r o.of Emergency Lighting
g and. ¢rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detectionand
Initiating Devices
No.of Ranges No.of Air Cond. Togs No.of Alerting Devices
No.of Waste Disposers Heat Pump Number,.Tons KW No.of Self-Contained
Foes Totals: Detection/Alertla Devices
Na.of Dishwashers Space/Area Heating KW Local❑Municipal ❑Off+
No.of Dryers Heating Appliances KW Security Systems:*
ry No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or E uivnQllent
No.Hydromassage Bathtubs No.of Motors Total HP 'TelecommunicationsNo. ev s or Equivalent
OTHER:
to Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of lectri I Work: ;Sa' (When required by municipal policy.)
Work to Start: e 7f a/a— Inspections to be requested in accordance with MEC Rule 10,abd upon completion.
INSURANCE C VER'AGE: 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 col*,under the pains and penalties of pedury,that the Information on this application is true and conrpie
FIRMNAME: Cape Cod Electrical LIC.NO.: 22642-A
Licensee:Nick McElroy Signature nature LIC.NO.:870 Al(Busoess)
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. S08-566-4489
Address: 38t Old Falmouth Rd Ste 32 Marston Mies,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:S rJ'0't°
Signature Telephone No.
Email:Office @capecodelectrici a n.com