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Home My WebLink AboutBLDE-21-003230 • �� Commonwealth of official use only Massachusetts Permit No. BLDE-21-003230 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:12/7/2020 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) 29 RUN POND RD Owner or Tenant MAZZONE JOHN M Telephone No. Owner's Address MAZZONE DENISE E,2 MEADOW DR, UPTON, MA 01568 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: Kitchen remodel&sunroom addition. 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 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.Not f Self-Contained Devices Totals: No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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: John M Mazzone Licensee: John M Mazzone Signature LIC.NO.: 26375 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 Meadow Ln, Upton MA 015681538 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 /?&t,,4 etc- /2% /2JL-i €— • Commonwealth o`Massachusetts Official Use Only ,• - ivcc'�� Permit No. r-24'3 ZL -? 2)epartment o`]ire Services 11 - Occupancy and Fee Checked , .. ,,u+" 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: /g ' V. D-o City or Town of: gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) a I f2✓i-, l2ot,, Owner or Tenant Jo(- /'tom Z ►,2._ Telephone No. rba' 3 61 -63 i/7 Owner's Address 3 y 6,--b y L1,.N ill t I 6``o MA Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Of', Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location r Vand Nature of Proposed Electrical Work: Li i e_ f h ro a ,,, a eAV, -i20_, O.,,.r7 VC h 1 .Lo..-, Y'-eem o vea-e Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Sus .(Paddle)Fans No.roof KVA P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool mod. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FLEE ALARMS No.of Zones and No.of Switches No.of Gas Burners No. Inofitiating Detectionon Devices No.of Ranges No.of Air Cond. Toast No.of Alerting Devices No.of Waste Dis rs Heat Pump Number TTons I KW No.of Self-Contained P� Totals: II Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security 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 Telecommunicaions Wiring No.of Devicet s 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: /a - -6)-0,)-o 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 DV OND 0 OTHER ❑ (Specify:) I certify,under the pa'and penalties of perjury,that the information on this application is true and complete oM. /1/U-}Z ZOL fZ LIC.NO.: FIRM NAME: �.. (). 1 ,� Licensee: 0 d OZ"LW`2- Signa LIC.NO.: �G 3 '7-� (---- (If applicable,enter"exeprpt"i the license number line. Bus.Tel.No.: cl '-.`773-V2,-� Address: 2 y dd ' / "`^ I Alt.Tel.No.: 3`h' 1 tot -6 1/' *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/Agent Telephone No. I PERMIT FEE: $ '7)'kro . Signature P • Elliott, Ken From: John Mazzone <mazzoneelectric@gmail.com> Sent: Monday, December 7, 2020 6:36 AM To: Elliott, Ken Subject: 29 Run Pond Rd Attention!This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Good morning Could I get a rough electrical inspection at 29 Run Pond Rd on Friday Thank you John Mazzone 508-361-6247 Sent from my iPhone I ��1 ç(3. 1