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Home My WebLink AboutBLDE-22-007176 or \(\ Commonwealth of Official Use Only LIU sit Massachusetts Permit No. BLDE-22-007176 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:6/13/2022 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) 45 BUTLER AVE Owner or Tenant ATWOOD ELLEN A Telephone No. Owner's Address ATWOOD F C DECHRISTOPHER R J B G,45 BUTLER AVE,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Heating Local ❑ Municipal No.of Dishwashers Space/Area KW Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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: Signature LIC.NO.: 57432 Licensee: Lanzoni Anderson Si g Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 176 Hinckley Road,Hyannis MA 02601 *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 I Signature Telephone No. [PERMIT FEE: $50.00 ge,(9,. tel 0/2 / -, RECEIVED „b. ._____.. o 'Rif/sail �. 4 Ma Official Use Only y ' P 10 201 . Permit No. �W 7 l (C� moo{ ,.sml� �� T 1/4 Occupancy and Fee Checked ,,:�' a 1 n►cB 5 fj'+ PREVENTION REGULATIONS [Rev. 1/07) (leave blank) 3. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME_C),527 CMR 12.00 .i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �}�/�t�1�v22 City or Town of: W�51� '1, f.MOO?' To the Inspector of Wires: p By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) il C) u (La. 4v e'Jo f 4_ W B',5 I- Vf}i m(}U tJ Q Owner or Tenant F(Z,v D CR,i c K. lenA/00 A Telephone No. 3-1- + g la t es,i Owner's Address SAME MoV E' °(' Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Box) N Purpose of Building R E,S i N 6)rl AL Utility Authorization No. Existing Service ,,G 0 Amps 1.29/240 Volts Overhead Undgrd❑ No.of Meters 01 .' New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters V Number of Feeders and Ampacity --..,4 Location and Nature of Proposed Electrical Work: R-PLR C;,J Gs -04 PLLfc a i c'L PA-IJEL .t VCompletion of thefallowingtable maybe waived by the Inspector of Wires. tip No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransformersNo KVA f—1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grnd. ❑ and. ❑ Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 't 1 No.of Ranges No.of Air Cond. Ton No.of AlertingDevices Tom No.of Waste Disposers Totals: Pump Number Tons_ "No.of Self-Contained Totals: - Detection/Ale . Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun �:ction, 0 Other Conne No.of Dryers Heating AppliancesKW Sec ostems?'N f Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent hUv No.Hydromassage Bathtubs No.of Motors Total HP 'fehNomm Devices o�ss quiv No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: i,Goo.Do (When required by municipal policy) Work to Start:06 11.I 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ell BOND 0 OTHER 0 (Specify:) I certifr,under the pains and penalties of pedury,that the Information on this application is true and complete. FIRM NAME: AtJ[vets 0►J AL6 (firiN+ FL?t I ciRN LIC.NO.: 5 �-L 32j3 Licensee: l4-1J p a..So iv A L i3 er t�i Signature VW— 4,4,-(!ICUs- LIC.NO.: ri'}-II 12.ill (If applicable enter"exempt"in the license number line.2 Bus.Tel.No.: 1- 32-S 8 L 5'l. Address: ' 2G J C I.LFY R.6 ,.,.4 OM.S ; ,NA" t 0 Z G o 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))0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 50,00