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Home My WebLink AboutBLDE-23-003083 Commonwealth of Official Use Only : Massachusetts Permit No. BLDE-23-003083 �' 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:12/6/2022 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) 11 OLD SALT LN Owner or Tenant JOE FRIO Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 11231517 Existing Service 100 Amps Volts Overhead ❑ 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 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. l rnd. 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: 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: S50.00 ,:.1 '=44z.-.." .. CA, LL40 e 72 rek,12Ce /2.44 Z. '..c7 A'-. g4 lorrunoeurroa o`Plaatachueett a /� Use e On (/ Permit No. 7 dopardnaat of11.0 Straka y ' t I(- Occupancy and BOARD OF FIRE PREVENTION REGULATIONS [Roy.1/07] F,b )ked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accodance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:l��f�$�Z 2 6. City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned givetootice of Ilis or`her� intention to 'rm tlh�e/a cal work described below. Location(Street&Number)//04'J /F 4� 7(lr )d//'1 o(1 _/"l/ Owner or Tenant roe t J L L Telephone No./79 ?3 7.80/o Owner's Address //O f fa(F Lr,, yor/I'tovr Ii/��7 Is this permit In conjunction with a building permit? Yes ❑ No a- (Check Appropriate Box) C Purpose of Building Uti lty Authorization No. I/Z'(5"l 7 J �Existing Service � Amps rip !2tCA Volts Overhead rL� Undgrd❑ No.of Meter / C c5 New Service 7a> Amps /Zo /2`(o Volts Overhead Er Undgrd❑ No.of Meters I Number of Feeders and Ampacity 2CO y Location and Nature of Proposed Electrical Works /06 s -fa Z f)., fe.04 CC Uia rdf vl ' Completion of the followingtable may be waived by the Inspector of Wires. lbNo.of Recessed Luminaires No.of CeIL-Snap.(Paddle)Fans No.of i oral Transformers KVA '�a No.of Luminaire Outlets No.of Hot Tubs Generators KVA rC\ No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting _grnd. grnd. LI 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number.Tons KW_ No.of Self-Contained Totals: .....— I II . [Tons '` Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:" No.of No.of Water KW Heaters Signs Ballasts No.of No.of Data Wiringvices or Equivalent _ No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: /' No.of Devices or Equivalent _ OTHER:,dc/� C4.✓t (7f�f✓,'u 5 C��c%c.a„A) l � Attach additional detail if desired,or as required by the Inspector of(Vires Estimated Value of El trical Work: >I Q O O (When required by municipal policy.) Work to Start: r 22 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANC C 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 cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:) I cerN under th �') r91 C(fJi pa andpanal�tifs ofperjury,t at the lnformadon on this application is true and complete. FIRM NAME: /./rlA/l�ejli fCy�rlC� Licensee: aigeetur (If applicable,entd"" 'In th�icenre nu ber(ire /�— LIC.NO.: Address: 4/r7cr f /C°yc-f ��,yr,c,,-(, �fi4,4 Bus.TeL No.:, o 0 Per M.G.L.c.147,s.57-61,security work requires Deportment of Public Safety"S"License:Alt Lie.eL No.. : OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer 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:ont. Owner/Agent Signature Telephone No. PERMIT FEE:$