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Home My WebLink AboutBLDE-23-000166 o• ` '� Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000166 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:7/12/2022 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) 20 FESSENDEN ST Owner or Tenant LAPOINT JOHN J Telephone No. Owner's Address LAPOINT LILLIAN M, 20 FESSENDEN STREET, SOUTH YARMOUTH, MA 02664-2919 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: Install generator 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 1 KVA 22 No.of Luminaires Swimming Pool g bovend. ❑ grnd. ❑ No.of Emergency Lighting rBattery 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens 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 o perjury,that the information on this applications true and complete. fp lur y, FIRM NAME: MATTHEW S FRONIUS Licensee: Matthew S Fronius Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 22030 Address:57 OLD COLONY DR, MASHPEE MA 026492534 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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: $250.00 I T `a 7 - �.� lt ,,__ &amosa/ea&of'gaodac% Official Use Only d _( °P '�o�-�`irs ServicedPermit No. �J (p tp BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked ov.1107) 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 TYPE ALL INFORMATION} Date: 7/6/2022 City or Town of: 4565011561. \ m To the In---;;;;;C:- —ire of Ws; By this application the undersigned gives notice of bis or her intention to Location(Street&Number perform the electricsl work described below. 20 Fessenden St. Owner or Tenant Lappin a er Owner's Address Telephone No. 508-444-8144 Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building (Check Appropriate Bog) Utility Authorization No. • Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd — Number of Feeders and Ampacity 0 No.of Meters Location and Nature of Proposed Electrical Work: Install '�� ,,i0),L., Co •etion o the • lowin_table • be waived• the Ins, or, Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans ota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool A, i vd.e ❑ - ,o. , ' ,,ergency ,,: No.of Receptacle Outlets No.of 011 Burners Na of Switches FIRE ALARMS No.of Zones No.of Gas Burners 'o• a etechon as No.of Ranges Iaifatin Devices No.of Air Coad. T,ea No.of Alerting Devices No.of Waste Disposers eat mp Number ons._ i o.of ;' en Totals: Detection/AI , Devices No.of Dishwashers Space/Area Heating KW Local❑ T un y, No.of Dryers Conn-w•,a ❑ Oilier rT Hearing Appliances , ea ty ems: a o Heaters KW O.o o.o No.of ea or ,trivalent S i s Ballasts Data Wiring: Bathtubs : of at at No.Hydromassage No.of Motors Total HP eiecomo,un t s ''f gg� OTHER: i i 1 '1. .,:or ,uivalen Attach additional detail ifdeslreaj oras required by the Inspector of Wires. Estimated Value of Electrical Work Work to Start: 7/6/2022 Inspections to be (When required by municipal policy.) COVERAGE: Unless waived toby terowete requested in accordance with MEC Rule 10,and upon theINSURANCE prCO proofrCf OVERAGE: ' permit for theecompletion.ayssu qty insurance including completed p"coverage or of its substantialcal work ,lent. The undersigned certifies that such coverage is in force,and has exhibited same to the i ngoffice.equivalent. The CHECK ONE: INSURANCE 0 BOAi permit issuing I cert fy,under the pains and penalties o 0 OTHER 0 (Specify:} FIRM NAME: 1Pee ',that the information on this application is true and c+amplete: c 103U Fronius Electric, LLC Liaatthew ronius O.e Wapplicable,enter xe signature 030A Address: �Pt in the license number lure.) seer M.G.L.c.147,s.57-61,sec Bus.T No.* V``_ OW'NER'S INSURANCE WOE Department of Public Alt Tel.No.: — URANCE WAIVER: I am aware that the Licensee ��' the License: Lin.e c requited by law. By my signature below,I hereby does not have liability insurance cov�g�'---- Owner/Agent waive this requirement. I am the(check one ■ owner • ow n Signature t. Telephone No.