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Home My WebLink AboutBLDE-23-001075 Commonwealth of Official Use Only ri`�t - Massachusetts Permit No. BLDE-23-001075 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:8/29/2022 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) 15 PARK AVE Owner or Tenant LENZI ALBERT F Telephone No. Owner's Address LENZI JOAN M, 216 CLARK RD, LOWELL, MA 01852 f Is this permit in conjunction with a building permit? Yes 0 No 0 (Cl , ,, , >nil ')tA, 1/ UtilityAuthorization .. � ' it"- i, 2)1 Purpose of Building � � ��. � Existing Service Amps Volts Overhead 0 Undgrd fi No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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. 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 Initiatine Devices No.of Ranges No.of Air Cond. Ton 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Jon T Moreau Signature LIC.NO.: 22967 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 Redberry lane, MARSTONS MILLS Ma 02648 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 '0./ b_ I S4 COmrnonwsa[tk el/s/aeaackW& cial Use Only 'r c� cc--�� Permit No. '(�� C . : ' .LJs/oarEms o`,tirs�srvics3 is i Occupancy and Fee Checked Z 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 TYPE ALL INFORMATION) Date: 8/29/2022 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. gLocation(Street&Number) 15 Park Ave U Owner or Tenant Michael Lenzi Telephone No. Owner's Address 7 Brianna Way Dracut MA 01826 Is this permit in conjunction with a building permit? Yes 0 No {,CJ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 10243549 • Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters `06- New Service 1 O0 Amps 120/ 240 Volts Overhead 0 Undgrd 0 No.of Meters 1 ini `" 1, Number of Feeders and Ampadty 4/20AM P Location and Nature of Proposed Electrical Work: Over Head Temporary Service. Ad t. Eversource Work Order Number 10243549 V") Completion of the following table may be waived by the Inspector of Wires. Total lil No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No f Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swhnmin pool Above In- No.of Emergency Lighting g 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 l l..? No.of Ranges No.of Air Cond. TotaTonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained Totals:_ Detection/Ale Devices No.of Dishwashers Space/Area Heating KW I, ❑ Munnici nd 0 Secu Cyo n No.of Dryers Heating Appliances KW No of Devices or Equivalent No.of Water , Heaters Signs Ballasts No.of Devices of No.of Data Wiring: eevices or Equivalent No.Hydromsasage Bathtubs No.of Motors Total HP Telecommunications Wig No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 400.00 (When required by municipal policy.) Work to Start: 8/29/2022 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 V BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and compkte. FIRM NAME: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature idli.706tL LIC.NO.: 22 96 7-A (If applicable,enter"exempt"in the license number line.) Bus.Tel No.: 508-737-8747 Address: 21 I Fruean Ave S. Yarmouth MA 0266 Alt.TeL No.:508-326-9699 *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 Signature Telephone No. I PERMIT FEE:$ 50.00