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Home My WebLink AboutBLDE-22-004265 Commonwealth of Official Use Only `-: Massachusetts Permit No. BLDE-22-004265 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:1/31/2022 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) 43 COVE RD Owner or Tenant NEYLON FRANCIS X Owner's Address NEYLON MARGARET T, P 0 BOX 86, NORTH TRURO, MA 02652 Telephone No. 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 Number of Feeders and Ampacity gNo.of Meters Location and Nature of Proposed Electrical Work: Replacement burner. 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 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: ,Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to start: (When required by municipal policy.) 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 I certify,under the pains and penalties o.fperjury,that the information on this applications true and complete. FIRM NAME: Licensee: Jon T Moreau Signature LIC.NO.: 22967 (If applicable,enter"exempt"in the license number line.) Address:9 Redberry lane, MARSTONS MILLS Ma 02648 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$80.00 I Pe.:-.‘ A q 14 l.OM MOSUVOtt A o`i//amaclrestte Official Use Only " �epartauni al gift..5eswicee Permit No. ?�Z 'LZ BO ARD OF FIRE PREVENTION REGULATIONS an0y and FCe Checked .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: 1/27/2022 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to Location(Street do Number) 43 Cove Road West Yarmouth 02673 perfonn the work described below. Owner or Tenant COVE ISLAND VENTURES LLC Owner's Address Telephone No. Is this permit in conjunction with a building Yes permit? ❑ No Purpose of Building (1as Burner(11 Wat r H at r Utility A�dzad No. Check Approprtate Box) 1 G Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters N magma Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity 0 No.of Meters Location and Nature of Proposed Electrical Work: •ll_�6 Cons.letlon o the 'llowin:table m, be waived, the I . for o Wires. t No.of Recessed Luminaires No.of CdL-Snap•(Paddle)Fans `o.o 0 No.of Lumina OutistsTransformers KVA No,of Hot Tubs Generators KVA 't' No.of Lu ' 'dminaires Swimming Pool , ' 've• 0 n-�d• 0 Bah U. t.o mnits ergeacy _, ;, � No.of Receptacle Outlets '` g No.of Oil Burners FIRE ALARMS No.of Zones z-- No.of Switches No.of Gas Burners 1 'o.o r et- , IQ U No.of Ranges o, Initial's- Devices No.of Air Cond. Tons No.of Alerting Devices ,eatTotals: "'um, r.. ..ens_ " `o•o t' on a-, No.of Waste Disposers muml Detection/Ale . , D No.of Dishwashers Space/Area Heating KW Loral❑ •un ry„�Devices No.of Connection 0 �' `o.o Dryers Heating Appliances KW u 'stems: o.o No.of r evices or ,ulvalent Heaters 1 KW o.o Data Wirt Y e Bathtubs S _� s Ballasts No.of Devices or ' ,uivalent No.H dromasaag No.of Motors OTHER: Total HP ,mm »r^ , ,. '' ,,, • No.of Devices or ' . , ,t 17,000,00 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: 1/27/2022 In (When requited by municipal policy.) COVERAGE: Unless waived byto requehe sted no in accordance with MEC Rule 10,and upon completion. the licensee INSURANCE COVERAGE: Epit for the performance of electrical work may issue unless 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 CHECK ONE: INSURANCE to the permit issuing office. I ctrtify,wider the � BOND 0 OTHER 0 (Specify:} pains and penalties ofpedury,that the information on this FIRM NAME: application is true and complete. Licensee: Jon Thomas Moreau LIC.NO.: 22 g g__ (If applicable,enter"exempt"in the license Signature �' l LIC.NO.• Address: number line.) _gn6�q *Per M.G.L.c. 147,s.57-6I,security,work requires Bus.Tel.No.:g(1R_7a7 R747 Department of Public Alt.TeL No.: 9 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityinsurance coverage normally nse: Lic.No. required by law. By my signature below,I hereby waive this Owner/Agent requirement. I am the(check one owner III owner's :ent. Signature Telephone No. $_ - 74 PERMIT FEE:$ di ,CO