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Home My WebLink AboutBLDE-22-002831 or Commonwealth of Official Use Only A. og .1 Massachusetts Permit No. BLDE-22-002831 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:11/16/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfom the electrical work described below. Location(Street&Number) 97 MAYFLOWER TERR Owner or Tenant CRAWFORD SIDNIE W Telephone No. Owner's Address WHITE DEBORAH 0, 925 PIEDMONT RD, LINCOLN, NE 68510 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate ox) Purpose of Building Utility Authorization No. d6 BQ'l l Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Mete New Service Amps Volts Overhead 0 Undgrd 0 No.of Meter t( ( lzi Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Unknown work. (Not defined on application) 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 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 Initiating 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/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 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 '.' 16Al) RQA,. c It(t?12-, I -- Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. �- 3 Occupancy and Fee Checked L1.) i j BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) :¢ PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I jI t All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ' 0 f j 'J EASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/09/2021 o I u z R.D. o 1 City or Town of: South Yarmouth To the Inspector of Wires: LY i +3}}this application the undersigned gives notice of his or her intention to perform the electrical work described below. °�,fi ation(Street&Number)97 Mayflower Terrace Owner or Tenant Sidnie Crawford Telephone No. Owner's Address 119 Barn Road -E. Stroudsburg, PA 18301 Is this permit in conjunction with a building permit? Yes n No 7l (Ch Appropriate Box) Purpose of Building Residence Utility Authorization o. 1 0 5 O' Existing Service Amps / Volts Overhead ❑ Undgrd❑ f Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install a Temp Pole — 1 \[L ,_ 1„,e.1— y U t kht►w \l)U c V Of r 44 lAI h-P_y j: Cal_ I i1 --1'(il,� v\c,pP ck-/ci ., 1 Completion of the following table may be waived by the Inspector of Wires. No. rano otal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency cy 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.oInitiatinnggn Deteon and Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Connection Other 1 No.of Dryers Heating Appliances KW Security Systems:* Y No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: IC Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo fDeieor Wiring: No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1500.00 (When required by municipal policy.) Work to Start:ASAP 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.NO.:22967-A Licensee: Jon Moreau Signature 4, 19.4,6r;.« LIC.NO.:8082A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-737-8747 Address: 21 L Fruean Ave-South Yarmouth, MA 02664 Alt.Tel.No.:508-326-9699 *Security System Contractor License required for this work;if applicable,enter the license number here: 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ .-0