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Home My WebLink AboutBLDE-22-007199 611 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-007199 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:6/14/2022 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) 23 STANDISH WAY Owner or Tenant MARTIN JOSEPH P Telephone No. Owner's Address MARTIN TRICIA A, 3 OLD COLONY RD,AUBURN, MA 01501 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: Split heat pump(3 Zone) 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 grad. 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 RECEIVED ►. ,SUN 13 2020 . ea[th_[Klatcheeffe Official Use Only (� I. ' .Xh ,'/ --- `7 Permit No. (L_7L01—t r, pLoG. ARLi : n0irr mica— Occupancy and Fee Checked :OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) ) 4111 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: 06/09/2022 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. lb Location(Street&Number) 23 Standish Way 411 Owner or Tenant Joe Martin Telephone No. 774-696-4821 COwner's Address 3 OLD COLONY RD AUBURN, MA 01501 �1 Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Box) 4 do Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters is Number of Feeders and Ampadty gig Location and Nature of Proposed Electrical Work: Electrical Connections for a (3)zone Fiiutsu Mini Split, Heat Pump t, Air Conditioning System Completion of the followingtable may be waived by the Inspector of Wires. ill No.of Recessed Luminaires No.of Cell.-Sus .(Paddle)Fans No.of Total pTransformers KVA C C} No.of Luminaire Outlets No.of Hot Tubs Generators KVA �` Above In- No.of Emergency Lighting No.of Luminaires SwimmingPooi ❑ ❑ rE y g grad. grad. Battery Units '.1 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 1',' No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Totals: 1 2 Heat Pump Number_ Tons __KW_ No.of Self-Contained ...... Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KWMunicipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW SecuNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te Noo.of Devices or 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: 06/09/2022 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 4V 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: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature 51011, 7/1-644.4z4 LIC.NO.: 22967-A (if applicable,enter"exempt"in the license number line.) Bus.TeL No.:508-737-8747 Address: 211 Fruean Ave S Yarmouth MA 02664 Alt.TeL No.: 50R-32R-A6A9 *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)❑owner ❑owner's agent. Owner/Agent ( PERMIT FEE: 50.00 Signature Telephone No.