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Home My WebLink AboutBLDE-23-003342 Commonwealth of Official Use Only 41‘. Massachusetts Permit No. BLDE-23-003342 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:12/16/2022 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) 116 SOUTH SHORE DR Owner or Tenant BIZUNOK VALENTINA Telephone No. Owner's Address BIZUNOK ALEX, 109 PAWKANNAWKUT DR,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 11473756 Existing Service 100 Amps 240 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: Replace SEU & meter. 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 rnd. 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 ❑ 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Licensee: Zachary Mancini Signature LIC.NO.: 57951 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 Taft Road,West Yarmouth MA 02673 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 0k I /r/lv/ZZ�.,f/ VEYt soo cr' !?t=P CA.0 /214vjy2 6' / /.08 1 fi0Di+L+F 14, , , _ . �2rYIcd� • RECEIVED att�� y,y�� 6n-f�1� -ff.:, 1 1 5 2022 I'mmanrvaa[th o`rr/aaaachaaeW Official Use Only ft cc77 n[� ",.`Y',.a' �I Twinged of JLr Jirvicaa Permit No. Z3 -334 L r 1—;.,,;t rA RT�'�e N 7 Occupancy and Fee Checked B. :a a. - RE PREVENTION REGULATIONS ;Roy.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:i4/5777 City or Town of: YARMOUTH To the In pector of Wires: By this application the undersigned gives notice of his or h tendon to perform the electrical work described below. r Location(Street&Number)//C 9j j,f ,'1,( �"_Owner or Tenant Aie,k"///,,��t ZVn(JI'( Telephone No.6/7 SO3 803 z `. Owner's Address//6 ,Soy-r. f/Y2 f)rr� , „Poll, yun,.a-(-t•.\ v Is this permit in conjunction with a building permit? Yes ❑ No [2r. (Check Appropriate B) Utility Authorization No.J/y 7 3 7 5 G Purpose of ButidiogauL�� Existing Service/0'? Am a /20/20 Volts Overhead fY Undgrd,1 g El No.of Meters flew Service {d J Amps (Za /L`W Volts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampadty / tl c (Oda/Per Location and Nature of Proposed Electrical Work: Qi, y, Sf U Q Ile,/ 410121 t • Completion plate followingtable mg be waived by the Inspector of Wires. Us No.of Recessed Luminaires No.of Cel.Susp.(Paddle)Fans No.n t TTransformerssformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA d- No.of Luminaires Swimming pool Above ❑ In- ❑-No.of Emergency Lighting end. grid. Battery Units 1-2 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 11-! 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 Totals: '- - Detection/Alerting_Devices Na of Dishwashers Space/Area HeatingMunicipal KW Local 0 Connection 0 other No.of Dryers Heating Appliances KW Security Systems:* No.No.of Water No.of No.of Data Wiringvices or Equivalent 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: 0 00 (When required by municipal policy) Work to Start:///r/Z 'Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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,undert,he��a�ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME:IC(.C/ts77 /. /14,2,nc,n, E' it/t-.' Licensee: `� ' LIC.NO.: S�' 76/Ju,y / . Af`ilur,•. Signature�� .C.NO.: (If applicable,enter"ese pt"in the license number line.) Address: Bus.Tel.No.soL7 1/7 -f o 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$