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Home My WebLink AboutBLDE-22-006556 - ' V ` Commonwealth of Official Use Only 1417111V� Massachusetts Permit No. BLDE-22-006556 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:5/16/2022 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) 296 STATION AVE Owner or Tenant DENNIS-YARMOUTH REG SCHOOL Telephone No. Owner's Address 210 STATION AVE, SOUTH YARMOUTH, MA 02664-3000 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Four data points&four receptacles. 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 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. T oval No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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: 4 Heaters Siens No.of Devices or Equivalent 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 LTC.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: $0.00 efau---q4/ 9 727 Commonwealth o`Mace ��Of��fici''al Use Only 1. ' U'/ cc�� c-� Permit No. =-m(/2. ' 7 40 2epartmonl o f..tine smoked ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: 5/9/2022 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) 296 Station Ave Owner or Tenant Dennis Yarmouth Regional School Telephone No. 3 Owner's Address 296 Station Ave S. Yarmouth MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No V (Check Appropriate Box) Purpose of Building(:nmmer-ial Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: Install (4) Data Points Install (6) Outlets Completion of thefollowingtable may be waived by the Inspector of Wires. v'tTotal U No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans No.of Qi KVA Transformers VA =1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA r� 4 No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergencyy Lighting grid. grad. Battery Units � No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones ` No.of Switches No.of Gas Burners �No.of Detection and Initiating Devices II i No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: "_.._._. .__._ Detection/Ale Devices No.of Dishwashers Space/Area Heating KW Local 0 Mania ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 4 iring No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsofor EV No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2500.00 (When required by municipal policy.) Work to Start:5/10/2022 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 V BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of peduty,that the information on this application is true and complete FIRM NAME:Coastal Mechanical LIC.NO.:8082 Al Licensee:Jon T Moreau Signature 9.9-e.- a 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 02664 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 ■ owner • owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: '.:OA V