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HomeMy WebLinkAboutBLDE-21-03623/ Official Use Only or Commonwealth of ..1-. i Massachusetts Permit No. BLDE-21-003623 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: Inspector20 of Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 29 SCALLOP RD Owner or Tenant Michael Sweat 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 400 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans TransformersKVA No.of Luminaire Outlets No.of Hot Tubs Generators s,R i ' •� KVA Above In- CINo.of Emergency ' htkdg . No.of Luminaires Swimming Pool grnd. ❑ grnd. Battery Units tf' No.of Receptacle Outlets No.of Oil Burners FIRE ALARM of ((Y�`ppes . z -at- N. No.of Detec ' tyjan 09 No.of Switches No.of Gas Burners Initiating De 1 No.of Air Cond. Total No.of Alerting Demes - '` %% No.of Ranges Tons \ Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices , Local ❑ Municipal ❑ ` ,Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. requiredmunicipal Value of Electrical Work: (When b y munici pl p olic y. 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 22967 Licensee: Jon T Moreau Signature applicable,enter"exempt"in the license number line.) Bus.Tel.No.: (If Pp 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $180.00l I A /� �/�N / s Official Use Only onu�sonurea a�ac `--k -3 Co Z3 %" c� Permit No. •' 2epartineni oPire Serviced Occupancy and Fee Checked .Z �a BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) (3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 t.... (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12/29/2020 City or Town of: West 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. 3 Location(Street&Number)29 Scallop Road Owner or Tenant Michael and Rita Sweat Telephone No. Owner's Address 131 High Street-Newburyport, MA 01950 a Is this permit in conjunction with a building permit? Yes n No ® (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. C.3.) Existing Service Amps / Volts Overhead n Undgrd n No.of Meters l.P New Service 400 Amps / Volts Overhead n Undgrd k I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New Construction -Whole House with 400 Amp Underground Service Completion of the followin&table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Luminaire Outlets No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: l Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local Di Connection ❑ Other HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 100,000.00 (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.:8082 Licensee: Jon Moreau Signature ji,711,,g4a,4,i LIC.NO.:22967 (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.: *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: $ Signature Telephone No.