HomeMy WebLinkAboutBLDE-22-005034 Commonwealth of Official Use Only
UMassachusetts Permit No. BLDE-22-005034
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:3/11/2022
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) 166 SPRINGER LN
Owner or Tenant Frank Zappula Telephone No.
Owner's Address
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: Unknown work per attached.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 40 No.of Ceil:Susp.(Paddle)Fans 1 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 38 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 35 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 8
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers 1 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 Eauivalent
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: $150.00
172
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Permit No.
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: 03/07/2022
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) 166 Springer I ane
Owner or Tenant Frank Za p p u l a Telephone No.
Owner's Address 166 Springer Lane West Yarmouth MA 02673
Is this permit in conjunction with a building permit? Yes ❑ No Ezs (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
ti11 Completion of thefollowing table me be waived by the inspector of Wires.
tb No.of Recessed Luminaires40 No.of CeIL-Susp.(Paddle)Fans 1 Tornnsf formers TKVA
c1 No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
No.of Luminaires 1 1 Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting
g grad. grad. Battery Units
No.of Receptacle Outlets 38 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 35 No.of Gas Burners No.of Detection and 8
Initiating Devices
l No.of Ranges No.of Air Cond. Tonka No.of Alerting Devices
Heat Pump Number. oms T _KW No.of Self-Contained
No.of Waste Disposers�� Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other,
Connection
No.of Dryers 1 Healing AppliancesKW Security f Dy
evices:
No. or Equivalent
No.of Water , 'No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Hydromassage Bathtubs No.of Motors Total HP Ts No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $7800.00 (When required by municipal policy.)
Work to Start: 03/08/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE (ir BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of petjury,that the information on this application is true and complete.
FIRM NAME: Coastal Mechanical LIC.No.: 8082 Al
Licensee: Jon T Moreau Signature ly 70q .4 LIC.NO.: 22967-A
(If applicable,enter"exempt"in the license number line.) Bus.TeL No.:508-737-8747
Address: 21 L Fruean Ave S. Yarmouth MA 026 Alt.TeL No.: 508-326-9699
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ins trance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one) Fr ❑owner's agent.
Owner/Agent
Signature Telephone No. 508-737-6747 PERMIT FEE:$ )50.00