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Home My WebLink AboutBLDE-23-005119 .� � l Commonwealth of Official Use Only �, Massachusetts Permit No. BLDE-23-005119 '` 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:3/17/2023 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 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator. 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 1 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 Siens 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: 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 �� ek CNOu-j7 °/.3(-,12: 6-et. ok (gocc -6 v/c-.c_ eit4//4_. C o z L./ s cc ve'C Commonwealth of Massachusetts Official Use Only At * - •t Permit No. (t ( el gARIM Department of Fire Services _= Occupancy and Fee Checked � _ BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05} (leave blank) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK O All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 .C-.... (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/15/2023 . City or Town of: West YarmouthTo the Inspector of Wires: UBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Q) Location(Street&Number) 920 Great Island Road Q) Owner or Tenant Andrea Mihos Telephone No. 617 974 081 1 CCU Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. V Existing Service 200 Amps 120 / 240 Volts Overhead ❑ Undgrd XI No.of Meters 1 (i New Service Amps / Volts Overhead Undgrd El No.of Meters C c Number of Feeders and Ampacity 3-4/0 AL 200 Amp Location and Nature of Proposed Electrical Work: Electrical installation for a new whole house generator i Completion of the following table may be waived by the Inspector of Wires. Total t� No.of Recessed Luminaires No.of Ceil.-Susp. Paddle Fans TransformersNo of KVA (Paddle) KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. El Battery Units No.of Receptacle Outlets No.of Oil Burners [FIRE ALARMS No.of Zones No.of Detection and Q ._._ --No.of Switches No.of Gas Burners Initiating Devices 'i w ko.of Ranges No.of Air Cond. Tons Total l iNo.of Alerting Devices l ,.' N Heat Pump Number Tons KW No.of Self-Contained lo.of Waste Disposers 1Totals: Detection/Alerting Devices a. Municipal L INo.of Dishwashers Space/Area Heating KW Local Et Municipal ❑ Other Q 0 No.of Dryers Heating Appliances KW securit.of Devices y Systems:* LI No or Equivalent t X 0 ,`Ito.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent X 1 1 - 1 m r ; 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. Estimated Value of Electrical Work: $12,000.00 (When required by municipal policy.) Work to Start:3/16/2023 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 _ Q , LIC.NO.: 37363E (If applicable,enter "exempt"in the license number line.) U 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 El owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.