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Home My WebLink AboutBLDE-23-004548 -�,.- Commonwealth of Official Use Only fiAti Massachusetts Permit No. BLDE-23-004548 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:2/15/2023 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) 16 LOUISE LN Owner or Tenant KATHY HENRY Telephone No. Owner's Address 16 LOUISE LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 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 tea/ Location and Nature of Proposed Electrical Work: Install generator 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 20 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 ❑ 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 Siens 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 Official Only ca7n ran .alp��n/a4,��a<1aa.�, Pe�tNn. Z3 Use S 2eparim.nt of Jiro J.raicas 1 i- Occ pency and Fee Checked ,. '. BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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 O (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z l(��"U)23 City or Town of: W 1(A XVYtO4. Vl To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 'Cl Yh Location(Street&Number) I\D uocAA , LC,dr. Owner or Tenant lA 4.((M y� Telephone No. Owner's Address rVT ,�,/ �� Is this permit in conjunction with a buIdltq pour/ Yes ❑ No �" (Check Appropriate Box) Purpose of Building '-r1„I.1/X1 i-tp„( tit Utility� Authorization Na IJ 14 3, Existing Service I Amps 1 w!2 (_y 40Vol s Overhead Undgrd❑ Na of Meters ( New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 1 Number of Feeders and Ampacity s Location and Nature of Proposed Electrical Work: 1'[4 p W �A 1 v onaato✓ cAerA I00ionn vet swi-4CA-\ ral Completion of the followinktable m9,be waived by the hugoector of Wires. No.of Total (St No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans Transformers KVA Si Cl No.of Luminaire Outlets No.of Hot Tubs Generators I KVA7� 4 No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of 1 mergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones rt No.of Switches No.of Gas Burners No.of Detection and �' Initiating Devices I l,i 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: - - . Deteetion/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KVV Heaters Signs Ballasts No.of Device!,n•G^"±vet,nt No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Kqg No.of Devicceses o orr Equu ivvaetlent OTHER: Attach additional detail if desired,or as required by the Inspector of Wirer. Estimated Value of ElectricalWork:R(fT3(140 (When required by municipal policy.) Work to Start:2 t J.1.,l 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 3 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:%.tUj Ficr_. s(, i PtC LIC.NO.:12.1(OZ'4 Licensee:t1'VVON-00.I4- 7(,1.LC 0 Signature LIC.NO.:1 l t E (If applicable,enter"exempttAn the license number line.) Bus.Tel.No.•95 b SSW'S--ST f fe 4 Address: 17SU CX .W OYY41 Cs tL ilkA' 6 it f LniC4 lcd', 01-371I Alt.Tel No.: 'Per M.G.L.c.147,s.57-61,security work requires Nractruent of Public Safety"S"License: Lic.No. OWNER'S INSU' ' 'WAIVER: I antaware that the Licensee does not have the liability insu ce coverage normally required by law i,y aigna' r below,I hereby waive this requirement. I am the(check one)[weer ❑owner's agent. Owner/Agent • Signature Telephone No. PERMIT FEE:$jU-CcU