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HomeMy WebLinkAboutBLDE-22-004594 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004594 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked V e.v0/07] 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•2/17/2022 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 ? `-t)Geet Jilt w , - eve204v ,,K nM t 1/z /2v Conunonweatth o/M7aeennac lte Official Use Only p , f l 2)epariineni o�.}ire Serviced Permit No. 22 S 1`"l Occupancy and Fee Checked • 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