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Home My WebLink AboutBLDE-21-006827 ,- Commonwealth of Official Use Only > . ' ' � ,v Massachusetts Permit No. BLDE-21-006827 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:5/24/2021 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 described below. Location(Street&Number) 29 AVERY LN i. `i2 k Owner or Tenant Telephone No. Owner's Address 29 AVERY LN, SOUTH YARMOUTH, MA 02664 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: Finished basement wiring. 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 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. IJ.-n Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiatinc 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/Alertinc Devices No.of Dishwashers 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 Sins 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: $250.00 Kix 4..64 th,____ ei,,_,„,,, (4 3(2C CO2" l _t 711/w ((e& ikiv>gyiso gi,m0 (.,onunonwea[h_[c7M it Official Use Onlv �� 7 2 nt onirs Services Permit No. � t; 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 12.00 (PLEASE PRINT IN INK OR PE ALL INFORMATION) Date: 0 5/20Po 21 City or Town of: Af /1/t0 O }-1 To the Inspector of Wires: A By this application the undersigned gives notice of his or her intention to perform the electrical work described below. !_ Location(Street&Number) 2) A ve-k D L iJ , Owner or Tenant • - Telephone No. 31i-325--125-1 Owner's Address 2°J A\'E2'/ r'N, 5c,a t-:1-( Ya CM o V 1 L..]L Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) -r► Purpose of Building ri N i c)I.1 ab4`�F.Me"fir Utility Authorization No. 6 L_b-2i..-DO if�-O 2 N Existing Service k,00 Amps ',20/ 2110 Volts Overhead El Undgrd❑ No.of Meters New Service Amps / Volta Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: wiki 0 & i!i i 54.1 T 64,5 -,,A0,11- A 5 i L F bT n Completion of thejoilowingtable ml be waived by the Inspector of Wires. Total �No.of Recessed Luminaires iNo.of Cell. addle)Fans No.of '�� Transformers KVA Z r--1 No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool and. ❑ grad. ❑ Battery Units No.of Receptacle Outlets 3 0 No.of Oil Burners FIRE ALARMS No.of Zones 't f Detection and No.of Switches /1,2 No.of Gas Burners No.Initiating Devices 11,1 No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _KW No.of Self-Contained Totals: �— Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 =Iron 0 Other No.of Dryers Heating Appliances KW y * �'3' SecNo.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 Tel OTHER: Attach additional detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6,,gcso.Q 0 (When required by municipal policy.) Work to Start:05/20/202,' Inspections 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 cerdfy,under the pains and penaldes of perjury,that the information on this application is true and complete. M FIRM NAE: A o b r 2' o iJ LAn1 z9,J i L. LIC.NO.: 5 4-4 32-03 Licensee: 4.)N soul LAN Zuni QLARTiJi Signature � - all i.t.N. LIC.NO.:5 1.4 3 2-8 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 141/-32 S 4 2,S1 Address: 1% 1-11 N curt R.6. 4]YAr✓nh S. AAA. 0 2(0'1 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. Own ,s�nt lep -q'� -1°J00I PERMIT FEE:$ 255o.00 Signatuer/ Telephone No.C)SI