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Home My WebLink AboutBLDE-23-002601 Commonwealth of Official Use Only 4` ` Massachusetts Permit No. BLDE-23-002601 AA 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:11/10/2022 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) 920 GREAT ISLAND RD (J( ' C11,4 ` Ogle( Owner or Tenant ANDREA MIHOS Telephone No. Owner's Address 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: New bedroom, bathroom,washer/dryer,furnace, &basement lighting. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 25 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 2 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 ❑ Municipal Connection 0 Other: 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:) g(®-• 3657., 603 2- I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lawrence E Hanna Licensee: Lawrence E Hanna Signature LIC.NO.: 20191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 MULBERRY LN, SOMERS CT 060711320 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: $75.00 017A ttlf4,,Ac 0t.3c l 1---//19 2-0Jc-tt 4-2at PEE EaVED w/ICCdII Commonwealth of Massachusetts Official Use Only NOV f * t' Department of Fire Services Permit No. Z BUIL. G D 1C #NT Occupancy and Fee Checked sv. , , ` OARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) n 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: 11/2/2022 City or Town of: West 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) 920 Great Island Road Owner or Tenant Andrea Mihos Telephone No. 617-974-0811 Owner's Address Same Is this permit in conjunction with a building permit? Yes [1 No [1 (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service 200 Amps 120 / 240 Volts Overhead Undgrd X No.of Meters 1 New Service Amps / Volts Overhead n Undgrd _ No.of Meters Number of Feeders and Ampacity 3-4/0 AL 200 Amp Location and Nature of Proposed Electrical Work: Electrical installations for a new addition for master bedroom and bathroom including receptacles, lighting, washer receptacle and dryer receptacle. Lighting in basement and furnace Completion of the followin: table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires 25 No.of Ceil.-Susp. 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 2 No.of AlertingDevices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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: $9,000.00 (When required by municipal policy.) Work to Start:11/14/2022 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Hanna Electric, Inc. LIC.NO.: 20191A Licensee: Lawrence Hanna Jr. Signature i,.,,_ ,„„,,_- LIC.NO.: 37363E (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 860-305-6032 Address: PO Box 588, Dennis Port, MA 02639 Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: 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 ❑owner's agent. Owner/Agent U Signature Telephone No. PERMIT FEE: $ � _�