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Home My WebLink AboutBLDE-23-004884 Commonwealth of Official Use Only L...` Massachusetts Permit No. BLDE-23-004884 11: ue BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.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:3/7/2023 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) 277 BUCK ISLAND RD Owner or Tenant GARY ROY Telephone No. Owner's Address 277 BUCK ISLAND RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 12190266 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wiring for split system. 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. 1 Total 2.5 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:) IN d 3Z'-e 1/ 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $125.00 tt 1I1//''z 6 40402 S-t CA ) (' .2S11'49 1 114 l�ommonwsafth o`r19aaaacbueslia Official Use Only '':1). c� c n Permit No. Z3 '1"rc � 1 �sparfn+sni o� }iro Jsrvicts Occupancy and Fee Checked ? BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (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: L ?, 0 �i?Z 3 City or Town of: , l) -- To the Inspector of Wires: 4 1By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2 V Owner or Tenant (jM Y f l .1Telephone No. •rjog-Zgv,{51 a g�'t Owner's Address 2`�a. 8uck is!At4)D la) {Yi4AMourki, !L/Q, O 2-6 } H Is this permit in conjunction with a building permit? Yes ❑ No a (Check Appropriate Box) (\J Purpose of Building k g"s j QCNt i�L Utility Authorization No.la 1 J02 GC-M/0i4 reepui;5t ,-Z. Existing Service iOtt Amps 42,/ 240 Volts Overhead 0 Undgrd C No.of Meters 0 i New Service 200 Amps /Z40Volts Overhead Er- Undgrd ElNo.of Meters 0 1. Number of Feeders and Ampacity -.I Location and Nature of Proposed Electrical Work: p1° up ( YDive rg e- )dioriLE I wi2iN(r MiNk 5P1 i r 5115 rem • Completion of the following table may be waived by the Inspector of Wires. tb No.of Recessed Luminaires No.of Ceil.,-Susp.(Paddle)Fans No f al TransformersKVA _ 0;1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.ofEmergency Lighting grnd. grnd. Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones "t 'No.of Detection and Z-• No.of Switches No.of Gas Burners Initiating Devices 11.) No.of Ranges No.of Air Cond. •', Ton ZI No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW �No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW al❑ MunicipalConnection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: yt50•00 (When required by municipal policy.) Work to Start: v V 1 i i zon 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 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME:/lNt(,( N ,6 i (i si i W l,g Gt`'i A LIC.NO.: Licensee: 460 ID IV AL6e7kritv I Signature ,J/;/ Al, ,7y_ (2 iuGi: LIC.NO.: 6J 9-43 2 l3 , (If applicable,enter"exempt"in the license member line) / Bus.Tel.No.• 4 -4-3 2,C'Zli 4 Address: iii Ni NCK LEYSJS,NO/v/46S , MA, Q 2C 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: 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:se.5.0 ,..,j -