HomeMy WebLinkAboutBLDE-22-004594 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-004594
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
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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•2/17/2022
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) 308 OLD MAIN ST
Owner or Tenant 308 OLD MAIN STREET LLC Telephone No.
Owner's Address C/O MICHAEL LUMIA, 310 OLD MAIN ST, SOUTH YARMOUTH, MA 02664
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
Location and Nature of Proposed Electrical Work: Miscellaneous work per attached.
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 2 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 2 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 6 No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices
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 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: Jon T Moreau Signature LIC.NO.: 22967
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:9 Redberry lane, MARSTONS MILLS Ma 02648 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 requir-• • 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.
RMIT FEE:$75.00
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Occupancy and Fee Checked
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BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 02/15/2022
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) 308 Old Main St S Yarmouth MA 02664
Owner or Tenant JCW F NTF R P R I S ES INC Telephone No.
Owner's Address 308 Old Main St S Yarmouth MA 02664
Is this permit in conjunction with a building permit? Yes 0 No 4u (Check Appropriate Box)
Purpose of Building B&B Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampaclty
Location and Nature of Proposed Electrical Work: (2) Bathroom Remodels- 1St Floor- New Devices
Vanity lights, Recessed in shower.
Completion of the followingtable may be waived by the Inspector of fres.
iii No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total
Transformers KVA
' No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA
No.of Luminaires swimming Pool grad.Above 0 Ingrnd- . 0 lvo.ofBatteryEmerUnitagency Lighting
:21 No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 6 No.of Gas Burners No.IfNnfiit ng aDeavices
t t-? No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Heat Pump Number,Tons KW 14o.of Self-Contained
No.of Waste
DisposersTotals: Detection/Alerting_Devices
Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ "lawsNo.of Dryers Heating Appliances KW Security Systems:*
f Devices or Equivalent
No.of Water , No.of No.of Data Wiring:Heater Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Te Nomm Device o or Wiring:
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 2055.86 (When required by municipal policy.)
Work to Start:07/15/7027 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.
ONE: INSURANCE BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: Cnastal Mechanical LIC.NO.: 8082 Al
Licensee: Jon T Moreau Signature if. LIC.NO.: 77907-A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 508-737-8747
Address: 21 L Fruean Ave S. Yarmouth MA 02664 Alt.TeL No.: 508-326-9699
;Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)Vowner ❑owner's agent.
Owner/Agent 9 /l �/_
Signature /t/6 L Telephone No. 508-737-8747 I PERMIT FEE:$ 75.00