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Home My WebLink AboutBLDE-23-003152 0. r Commonwealth of Official Use Only ILA,, Massachusetts Permit No. BLDE-23-003152 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:12/7/2022 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 elec l work descriged below. Location(Street&Number) 15 GEORGETOWN LANDING faaAt Ci LAM P�i a 14—T Owner or Tenant G Telephone No. Owner's Address a` , Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)/ Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters C� New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Generator&transfer switch. 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 14 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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Anthony J Zucco Licensee: Anthony J Zucco Signature LIC.NO.: 12162 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 180 Fireworks Cir, Bridgewater MA 023243036 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 N. If4 Commonuwea!!h o1 asaa ucwlls Official Usc Only *i C'/Y� �] `�j Permit No. L23 3 i 2- xY V i/eparimeni O/JIM Serl/%cm + Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -k- 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: 0,- Z`w L2 ✓0 City or Town of: 5•\'',( f'WI.UVH--y\ To the Inspector of Wires: + By this application the undersigned vetfs notice� of his or her intention�� to perform the electrical work described below. ` Location(Street&Number) i5 C Or e.r iovt LFQ 'v.4 gpf Owner or Tenant (jCvY� (,,,�mpl=►1¢�l�t Telephone No.l i-?t1ZS'2 J]3 1 Owner's Address 'i i\ O VVV Is this permit in conjunction with a Mien permit? Yes ❑ No & (Check Appro riate Boa) Purpose of Building k C.)t('ibi'Yrl(� Utility Authorization No. ,)f a Existing Service I C C Amps 17-0 /24-1011aha Overhead d Undgrd❑ No.of Meters I — New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ins' (,4 1 A ILI K U/ t 1Q..}(,t,m C2co. ". K oh(fil C'Zine..A-0-tnhf C4\e,l t_C) 11'rwf au--Irma-hZ-ird.v48{t i' $lrittM Completion of the followingtabk may be waived by the/nwecfor of Wires. No.of Total Lb_ No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans Transformers KVA Z Q No.of Luminaire Outlets No.of Hot Tubs Generators I KVA ILA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting st grod. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 'T and No,of Switches No.of Gas Burners 'No.of Detection Devices I LI No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste D' rs Heat Pump Number Tons KW 'No.of Self-Contained tspose Totals: +__.._............ Detection/Alertin.gDevices Lo No.of Dishwashers Space/Area Heating KW cal 0 Co nnection nicrpa) 0 Caller Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs of MotorsTotal HP T e iec am m unic.aa as Wirin INo.' I No.of Devices or Equivalent OTHER: �pppp\� ,r��\� Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:(taw-UV (When required by municipal policy.) Work to Start:t74S WO- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO VE RAGE: 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 coved is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE B. BOND ❑ OTHER 0 (Specify:) I certify,under(he pains and pens of penury,that the e deformation on this application is true and complete. FIRM N t e G e%2 G: yI LIC.NO.: /I/2 47-- Licensee: r. - Signature j4 _ jLZuLLu LIC.NO.:tr 77/S (If applicable.ent r"ex 'Yi th c e number li J ,! Bus.TeL No.- Address: -• —� /.re Arjii�6jit: .ISlvr/Jsq/44.... ,7, 0,232 Alt.TeLNo.3a+-�re 5�2 "Per M.G.L.c.147,s.57-61,security work requires�artment of Public Safety"S"L tense: Lic.No. OWNER'S INSURANCE WAIVER: I ant aware that the Licensee does not have the liability insurance cov ge normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$