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Home My WebLink AboutBLDE-23-001457 Official Use only o . Commonwealth ofliti �;'�' ` Massachusetts Permit No. BLDE-23-001457 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK An 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:9/19/2022 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) 15 PARK AVE Owner or Tenant LENZI ALBERT F Telephone No. Owner's Address LENZI JOAN M, 216 CLARK RD, LOWELL, MA 01852 Is this permit in conjunction with a buildingermit? . 4 � P Yes 0 No 0 (Check Appropriate Box) Jr Purpose of Building Utility Authorization No. 10466285 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters �t,� New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters ,�( t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 37 No.of Ceil:Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Luminaire Outlets 12 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 64 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 40 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals: 2 I 4 Detection/Alerting Devices 8 No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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 I certify,under the pains and penalties o.`perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Jon T Moreau Signature Tel. NO.: 22967 (If applicable,enter"exempt"in the license number line.) Address:9 Redberry lane, MARSTONS MILLS Ma 02648 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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/Agent ) GI owner 0 owner's agent. Signature Telephone No. �? PERMIT FEE: $180.00 X91412- /201.4\06_8", L,I.,tpdfzi:40 ev-,-01- eoc,ti .3l 112.3 3 . la_ 3l lz3 (c L_- 7/,"/23 1 .. CoMMo^u'0tinh 01///addaclu dstid Official Use Only c� Peu,tit No. 1. sf,arr`n,snf ojl.}irs Serviced _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked CJ ` ""'� [Rev. I/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: q/i l.0 /2 02 2 City or Town of: GOY mOU+h To the Inspector of Wires: ihml le By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 15 zi, Ili Owner or Tenant ,, 1 �' M 1 C` Qe I` Len Z1 Telephone No. Owner's Address —1 Br f Gain n G \nicANi D ra c ,t+ M 0162 lD aIs this permit in conjunction with a building permit? Yes 0 No Purpose of Building K eSl��en fil�.l (Check Appropriate Box) Utility Authorization No. i 0 4(0(028S "" Existing Service Amps / Volts Overhead❑ Undgrd g 0 No.of Meters New Service 200 Amps 120/atiO Volts Overhead ' ❑ Undgrd® No.of Meters V Number of Feeders and Ampacity 3 - 200 Location and Nature of Proposed Electrical Work: &EL (7zonts‘O (A)1(7 ( EW 14,0VSG Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp. No.of Total 3 p (Paddle)Fans 2 Transformers KVA No.of Luminaire Outlets I Z No.of Hot Tubs Generators KVA No.of Luminaires 8 Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units No.of Receptacle Outlets (oy No.of 011 Burners FIRE ALARMS ]No.of Zones No.of Switches 140 No.of Gas Burners No.of Detection and No.of Ranges I Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number[Tons KW No.of Self-Contained - Totals: .2. I Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW al® Municip No.of Dryers HeatingConnection ❑ Olher• Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent HeatersNo.of KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin: OTHER: No,of Devices or Equivalent Attach additional detail if desired,or as required bythe Estimated Value of Electrical Work: (When required by municipal policy.) 9 Inspector of Wires. Work to Start:9//r-f/2 2 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [v BOND 0 OTHER 0 (Specify:) I certify,under the pains wand penalties l of 'jury,that the information on this application is true and complete.FIRM NAME: 1 i"1 �� n Licensee: Ir p r� Signature LIC.NO.: t-1 an MG (If applicable,enter"exempt" 'in the license nu ber line.) LIC.NO.:2 7- fl Address: 21 L F r AV e (�v Zte Tel.No Bus.Tel.No.:70 i 31-87471 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: AIL Lic.No.•:•>r �� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally by law. By my signature below,I hereby waive this requirement. I am the(check one • owner I owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: