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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 Al )/Zg/7Y ConrmonwaaUh o�///aeaachaesu6 Official Use Only 'f �C JeParfirwnf ol.7ire-cervical 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