HomeMy WebLinkAboutBLDE-22-004613 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-004613
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:2/18/2022
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) 32 DANAS PATH
Owner or Tenant ZACHER JOSEPH A Telephone No.
Owner's Address ZACHER LAURA A,2817 STROHL RD,ALLENTOWN, PA 18100
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: Work per attached.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 20 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 14 No.of Gas Burners 'No.of Detection and
Initiating Devices
No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat Pump N_gniber 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 Eauivalent
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 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. I PERMIT FEE: $75.00
.14 , cl 14111V
Official Use Only
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14 Comnronwra gddnn°C Permit No. ZZ \
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` 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: 2/16/2022
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) 32 Danas Path
Owner or Tenant Joe Zacher Telephone No.
Owner's Address 2817 STROHL RD ALLENTOWN, PA 18100
Is this permit in conjunction with a building permit? Yes Er No 0 (Check Appropriate Box)
Purpose of Building Residential UtWty Authorization No.
Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
St
V) Completion of the followingtable may be waived by the Inspector of Aires.
v o No.of Total
lb No.of Recessed Luminaires 20 No.of Cell.-Snap.(Paddle)FansT. Transformers KVA
=1 No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
r1Above In- "No.of Emergency Lighting
No.of Luminaires 4 S��g Pool grnd. ❑ grnd. ❑ Battery Units
'J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
ONo.of Detection and
zNo.of Switches 14 No.of Gas Burners Initiating Devices
tal
111 No.of Ranges 1 No.of Air Cond. To No.of Alerting Devices
ns
Heat Pump plumber_ Toss. KW No.of Self-Contained
No.of Waste Disposers Totals: . Detection/Aler�Devices
No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Otha'
No.of Dryers Heating Appliances KW `Security stems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or�alent
No.Hydromassage Bathtubs No.of Motors Total HP Te��° ��
No.of Devices or Eqniv eat
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 8170.00 (When required by municipal policy.)
Work to Start: 2/18/2022 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 0 OTHER 0 (Specify:)
I certfy,under the pains and penalties of perjury,that the information on this application is true and compkte.
FIRM NAME: Coastal Mechanical 9ers-
LIC.NO.: 8082 Al
Licensee: Jon T Moreau signature 94.44e.4 LIC•NO•: 72967-A
(If applicable,enter"exempt"in the license number line.) Bus.TeL No.: 508-737-8747
Address: 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)(l owner 0 owner's agent.
Owner/Agent44E44,
Signature Telephone No. 508-737-8747 I PERMIT FEE: 75.00