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Home My WebLink AboutBLDE-23-002143 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002143 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:10/20/2022 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) 21 ROBERTA DR Owner or Tenant LANCIANO MICHAEL S Telephone No. Owner's Address LANCIANO KATHARINE J, 21 ROBERTA DR,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 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: Mini split heat pump. 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: 1 Detection/Alerting Devices 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 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: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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 • - //�� jj // Official Use Only 1 • l�ommonweaa o f Mamacha6etti 2 1 _fil—a 1. cc�� c�7'7 Permit No. Z 43 -vow-.1 2 eparinwnt ol.}ire Services 14_ Occupancy and Fee Checked ¢ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ,(l (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:10/17/22 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. F Location(Street&Number)21 Roberta Drive o Owner or Tenant Katie Lanciano Telephone No. 267-980-7739 Owner's Address Is this permit in conjunction with a building permit? Yes No V (Check Appropriate Box) 6 Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd No.of Meters New Service Amps / Volts Overhead I 1 Undgrd No.of Meters v v Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, 50 Amp double breaker \.i, For New heat pump for mini splits (I), Completion of the following table may be waived by the Inspector of Wires. J No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total N Transformers KVA Q) No.of Luminaire Outlets No.of Hot Tubs Generators KVA `r' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 5 grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. InInitiatinnggon Dete and Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices - No.of Dishwashers Space/Area Heating KW Local❑ Connection l ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: j Heaters Signs Ballasts No.of Devices or Equivalent g No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 800 (When required by municipal policy.) Work to Start:10/17/2022 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 2 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjug,that the information on this application is true and complete. FIRM NAME:JVS Electrician LIC.NO.: Licensee: Joe Slowey Signature fi7(,// . zi p LIC.NO.:11186B (If applicable, enter "exempt"in the license number line.) BuBs.Tel.No.:508-326-2280 Address: 188 Watercourse Place,Plymouth,MA 02360 / Alt.Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work requires Depatttuent 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 ❑owner's agent. Owner/Agent PERMIT FEE: $ t. c;‘Signature Telephone No.