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Home My WebLink AboutBlde-21-007044 or.; St a Commonwealth of Official Use Only i�. 1 Massachusetts Permit No. BLDE-21-007044 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:6/7/2021 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 descri ow. Location(Street&Number) 42 LIVERPOOL DR 1171 t U C- 4 I 1-1 Owner or Tenant Telephone No. Owner's Address K , 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Take over from previous electrician (BLDE-21-004797) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 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. grnd. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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/Alertinu Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 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 Data Wiring: Heaters Signs Ballasts 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: Lanzoni Anderson Signature LIC.NO.: 57432 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 176 Hinckley Road,Hyannis MA 02601 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 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:$75.00 Ri.iA .. 0 7 124 l.ommowwoalth o`I/nsosaaclumaib Opcial Use only •i\t„: .1Jsparfinornt o�.trnv Jin+vrcee Permit No. �rZl-7 CO`i ~ Occupancy and Fee Checked , � BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) a 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:U(o I D 3 1 2 0 21 City or Town of: 7,4-R,I U114 To the Inspector of Wires: By this application the undersigned gives notice of his or her • - :on to perform the electrical work described below. Location(Street do Number) "12 Li V e;1Z P.x j L. 11 Q YA-MU U I 1-i' e Owner or Tenant >A n' f i-tQ IJ y DA'/I n 5 CAR.c i-( L i Telephone No. L i--7-2 9 - 1.o 40/ ' Owner's Address SPI.0 CC T-R,KE LAtJ r '2.3 1 #‘101Z l ov, AA, 9 2 (0 5,i g-34 0101 -"4 to Is this permit in conjunction with a building permit? Yes 121 No 0 (Cheek Appropriate Box) n1 Purpose of Bending Q t)(,-)i' Utility Authorization No.Q I.n-21-00925`i Existing Service Q Amps 4 2Qi 2140 Volts Overhead❑ Undgrd V No.of Meters 1 . New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ri4 Ki G foil) FiLwl 'irk ELFc rii2lc;ANi i V)I-ALI-10C, •. 'LU(s5 A,JD svnli i'(d 5 irJ r Ili=kir-grAfJ i,Ji(,au.,e n;o;a(rQ®M l.ri s;L) LT � Contpktion of the following table irt be waived by the Inspector of Wires. .of Total wNo.of Recessed Luminaires 2, No.of Cell.-Swp.(Paddle)Fans Tr0ansformen KVA G1 No.of Luminske Outlets No.of Hot Tub: Generators KVA Above In- No.of Emergency l tghung No.of Luminaires Swimming Poot fed. ❑ vat& ❑ Battery Unit: J No.of Receptacle Outlets $ No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.ofle and 1 No.of Ranges No.of Air Cond. Tca I No.of Alerting Devices No.of Waste Disposers Heat Pump Number Funs KW _ "De pelf-Contained No.of Dishwashers 1 Space/Area Heating KW Local 0 Co luttam 0 Odin. No.of Dryer Heating Appliances KW Security fs�or Equivalent No.of Water No.of No.of Data Heaters KW s Ballasts No.of Devices or Equivalent unications No.Hydromassage Bathtubs No.of Motors Total HP T No,of or l ui t OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $ UC.),.uy (When required by municipal policy.) Work to Start:Q(o 0 3 1202i �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 c:ovimage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1110 BOND ❑ OTHER 0 (Specify:) I cf,under the pains and penalties ofperfurry,that the htfotrnation on this application is true and complete FIRM NAME:AN)bt RSot-i LArNzO Jl ALAI -1 I J, LIC.NO.: 551-i432.- ) Licensee: 6`{-'1 32-3 Signature U.n e itA., /_ ()ILL, LIC.NO.: Of applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address: 'L N i NC K.FY I h t NAt•i ni,), , t L)Z6G4 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)❑owner 0 owner's agent. Owner/AgentPERMIT FEE:$ 1,�j.,Do Signature Telephone No.