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Home My WebLink AboutBLDE-21-005806 to CV Commonwealth of Official Use Only s _/ Massachusetts Permit No. BLDE-21-005806 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:4/8/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 17 SATURN LN Owner or Tenant TANNOZZINI ROBERT Telephone No. Owner's Address TANNOZZINI SANDRA,49 WALNUT ST, MILLIS, MA 02054 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chock ;: •Box) _ Purpose of BuildingUtility Authorization No. r, ,�.. 3 Existing Service 200 Amps Volts Overhead 0 Undgrd ❑ „� . -;`` New Service 200 Amps Volts Overhead ❑ Undgrd ❑4(§) N tos Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace service. P O �I Completion of the following table m .�,•••' a t ” .ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofj Transformers 3 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 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/Alerting 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 Data Wiring: Heaters Siens 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: Michael J Chase Licensee: Michael J Chase Signature LIC.NO.: 20654 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 MAYFAIR RD,SOUTH DENNIS MA 026602903 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: $50.00 4 li 1i It-7i •ice Commo,sw.at?k a Ma&kaiiidelid Official Use Only 67 Permit No. -r--_7.4 510 :; 2tin.Sonskoi Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) • i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: l (p Vi -- City or Town of: VIt-a-vvioarq To the I peer r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. vp Location(Street&Number) 17 S/ L0-e- JOwner or Tenant Bolo71tet)Ni 1 Z;iv: Telephone No., 37 t—(alrD a Owner's Address (7 .f-Wp-N C-ow-c S•>14.(2ate( Is this permit in conjunction with a building permit? Yes ❑ No ®- (Check Appropriate Box) -q Purpose of Building Si 1 — Utility Authorization No. Existing Service '24Y" Amps /O /O ' Volts Overhead El. Undgrd❑ No.of Meters S New Service 'laAmps /7P af'(p Volts Overhead a- Undgrd❑ No.of Meters l V Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: at,/ P//ft.e— Ov f-g-ilt_ S oa"T fi W -e—pleclik vl Completion of the following table m be waived by the! r of Wires. Total .t� No.of Recessed Luminaires No.of CeiL-Sasp.(Paddle)Fans No.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t- No.of Luminaires Swimming Pool Above ❑ In- ❑ Ivo.of Emergency Lighting genet. grad. Battery Units No.of Receptacle Outlets No.of Oid Burners FIRE ALARMS No.of Zones ...7', No.of Switches No.of Gas Burners bio.of Detection and Initiating Devices it, No.ofNo.of Air Cond. Total No.of Alerting Devices RangesTons No.of Waste Disposers Heat Pump Number Tons KW *No.of Self-Contained Totals: Detecllon/Alerti Devices Municipal No.of Dishwashers Space/Area Heating KW `Local 0 Connection 0 Other 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 E�g_nt No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications MVV Na of Devices or Equivident 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: 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 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and comp)ucte FIRM NAME: /-CE FIS Gr 2-GG Com. -.r,Jc. LIC.NO.: I1ST /4 l Licensee: !)1(at/fEL G#/4 W Signature LIC.NO.:ail t o (/fapplicabl$►enter"exempt"in the license number line.) Bus.Tel.No.t-5 "1("16/( Address: f'o. adx f l 4K �.1�e.z... /ilk 044o-it fY Att.TeL No.:, J-..Wf *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 Signature Telephone No. PERMIT FEE:$