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Home My WebLink AboutBLDE-23-001054 0 4\1)t. Commonwealth of Official Use Only it. * Massachusetts Permit No. BLDE-23-001054 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/NK OR TYPE ALL INFORMATION) Date:8/29/2022 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) 46B BEACH RD Owner or Tenant JODI RED Telephone No. —� Owner's Address / I E [W �71 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) 0 V` Purpose of Building Utility Authorization No. 10238727 Lid'' l� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel&SEU cable. 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: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: 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: 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) 0 owner 0 owner's agent. Owner/Agent Signature . Telephone No. PERMIT FEE: $50.00 )2.6._,1— 6 et) I Ai t.oili.c. 0 NIQ—o-urecraN) /- (4-2,..2, g____ rs—1 f ? I� tv. i((3c�t z) -- REIVEDO mil/, ryryyy�� ft '' 16 202fa aaK 0/rrlaeeac(iw.ils � cial U only " y UG c7 �i Permit No. C/� (/ J _.. �a�wnt of Jim Jir✓icat �',ILDING DEPARTM EN" Occupancy and Fee Checked _._.•.r-a-a.--•r- -REVENTION REGULATIONS [Rev.1/07] (leave blank) 5 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 '- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c g126120 2 2 City or Town of: V✓r5T'(MMC)unit To the Inspector of iirwres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number).� 4(o J) 6FA C�t loan; u1J I.i 2 kni s ryy,e1 arz/ GOwner or Tenant ,/O pi R E-n Telephone No.6og-ACO-0039 ' Owner's Address Scan F nF kPnA/E �{� Is this permit in conjunction with a boBdht$permit? Yes El (,y No 2 (Check Appropriate Box) wog/< N Purpose of Building Q,E51 )E/Jri/q L Utility Authorization No. 102 3g"2'- vvs*E\ _ Existing Service Amps 4.20 zyovolts Overhead g Undgrd❑ No.of Meters 0 2 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters -a Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: RrP1 fl C I>J r (LFC rI i 04 L [4jJEL'Oh S'EU vitae.r AULy. .. Completion of the follawingtable may be waived by the Inspector of Wires. of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA S Generators KVA No.of Luminaire Outlets No.of Hot Tubs Above In- No.of Emergency Lighting t No.of Luminaires Swimming Pool grad ❑ grad. ❑ Battery Units \ 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 It.] No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers HeatPump Total Number Tons KW....... No.of Self-Contained "'— Detection/Alertin.Devices al No.of Dishwashers Space/Area Heating KW Loral❑Connection 0 Other Heating Appliances KW Security Systems:* No.of DryersNo.of Devices or Equivalent 1 No.of Water ICW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNceor Equivalent y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:$2,000-00(When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER❑ (Specify:) I certify,under theApains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: D�RSniv �l �IF�riNi / /J Cr2 (:iA LIC.NO.: Licensee:4,.1 ' So a/ 4L6v'Rri u i Signature C/ --- j(It/, LIC.NO.: (Ifapplieob enter"exempt"in the license number lure.) Bus.Tel.No:17-1i 12S 8Ls1 Address: 41-G Mir;(KLIs Y tr),)•I iRNNI S'Department , 02 601 AIL TeL No.: "Ter M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. '5 i:k,37 (6 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ rJQ,QQ