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HomeMy WebLinkAboutBLDE-23-003575 ,�\k,D Commonwealth of Official Use Only ft_1%'; Massachusetts Permit No. BLDE-23-003575 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:12/30/2022 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 b low. � Location(Street&Number) 42 LIVERPOOL DR G 1 7- 7( /1_ V6 Owner or Tenant KELLY DAVID JOHN Telephone No. Owner's Address KELLY MARGARET ANN, 25 HOMER RD,ARLINGTON, MA 02476 9 µ:4me i Is this permit in conjunction with a building permit? Yes 0 No 0 q eck A pro I riate Box) Purpose of Building Utility Authorization I s g Existing Service Amps Volts Overhead 0 Undgrd ■ No.of Meters AlIPS7 Ili New Service Amps Volts Overhead 0 Undgrd 0 No.of Met i. . ,> Number of Feeders and Ampacity ' z . Location and Nature of Proposed Electrical Work: Replace meter socket. 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.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Ballasts Data Wiring: Heaters Signs 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: Licensee: Lanzoni Anderson Signature LIC.NO.: 57432 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 176 Hinckley Road,Hyannis MA 02601 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 I'— sctl ro 2114 RECEIVED . DEC 0 202 � 11 Maeeachrrestre Official Use Only c7i n Permit No. EZ3--35 7.6- I L D I N G D E PA RT NI E N .tns Smarm icy and Fee Checked ``' -.a-a, REVENTION REGULATIONS [Rev, 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK a 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: 'i2 Z���z City or Town of: MO J T'-i To the Inspector of Wires: O By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 142 Li VE R Poo L be pOwner or Tenant bAU i ts S c,,.R r IA i L ,i Telephone No. fj0 n 6 6.1©j �y Owner's Address Nti Is this permit in conjunction with a building permit? Yes 0 No Lid" (Check Appropriate Box) Purpose of Building I`i5iI k&r l A L Utility Authorization No. -1156 914 9 5 Existing Service 100 Amps 4 20/2ti1 Volts Overhead El Undgrd[D No.of Meters 0 1 �- New Service Amps / Volts Overhead❑ Undgrd El No.of Meters . Number of Feeders and Ampacity .. Location and( of Proposed Electrical Work: Re-PIA C I I J G- A Ig4L 14 v t±✓fre et �' e p Al-Fi E"b Completion of thefollowingtable may be waived by the lnpecfor of Wires. tb No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Trranan No sformers KVA f ohl S No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ 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 I L! No.of Ranges No.of Air Cond. Ton` No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Ale j_ting_Devices No.of Dishwashers Space/Area HeatingKW Local❑ Maa tia 0 Other No.of Dryers Heating Appliances KW Security ofs� or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eq uivalent No.Hydromaage Bathtubs No.of Motors Total HP Telecommn bona W m hbv 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. 1-,900-il(When required by municipal policy.) Work to Start:0110 020 23 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 cuv7age 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 complete. FIRM NAME: AJb1kSot AL66-R7-ir/i LIC.NO.:51432.-6 Licensee: j4r.J1 k o./ A L6p-kr N i Signature LAA„, ....ag LIC.NO.: i ( t t (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 4.4-4;Ztj'251 Address: 1 14 i!i C et Y k ; 1-(fkNnr i 4 /44 I c?6 0 4 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: 1 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 60_ 0 0