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Home My WebLink AboutBLDE-22-005300 Commonwealth of Official Use Only Ili* Massachusetts Permit No. BLDE-22-005300 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:3/23/2022 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) 97 MAYFLOWER TERR Owner or Tenant CRAWFORD SIDNIE W Telephone No. Owner's Address WHITE DEBORAH 0,925 PIEDMONT RD, LINCOLN, NE 68510 Is this permit in conjunction with a building permit? Yes 0 No 0 (y Purpose of Building Utility Authorization - k0dial Existing Service Amps Volts Overhead 0 Undgrd L •. I ' e ers New Service 200 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 Recessed Luminaires 38 No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 15 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ab ❑ In- ElNo.of Emergency Lighting grnove d. grnd. Battery Units No.of Receptacle Outlets 45 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 38 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 2 Total 6 No.of Alerting Devices TNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 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: $180.00 ‘1 /4-60130 1-Celi-aN_i g16(2 4 02 :(4‘CP") . 10 A'17/24 1(74,44 aWiecti- 1° 9+1C-tft PatitiveL &I/ ) 1I(s 4C€ 4 t `%f.,, g4 Commonweattti el Mada mLeath Official Use Only `' 'r c7 Permit No. -�2-599c7 .2eparEmsnt of ins Serviced . [Rev.' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 03/21/2022 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 97 Mayflower Terrace Owner or Tenant Sidnie Crawford Telephone No. Owner's Address 119 Barn Rd E Stroudsbura , PA 18301 Is this permit in conjunction with a building permit? Yes ❑ No 11 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 7853875 Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters New Service 200 Amps 120/ 240 Volts Overhead❑ Undgrd Er No.of Meters 1 Number of Feeders and Ampaeity 3/180 Location and Nature of Proposed Electrical Work: New Construction t, Completion of thefollowingtable may be waived by the Inspector of Wires. Notb No.of Recessed Luminaires 38 No.of Cell.-Soap.(Paddle)Fans 1 TransTotal CI Trsformers KVA , q No.of Luminaire Outlets 15 No.of Hot Tubs Generators KVA No.of Luminaires 180 Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting g lend. grad. =artery Units No.of Receptacle Outlets 45 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Detection and 3$ No.of Gas Burners Initiating Devices To l._t No.of Ranges No.of Air Cond. 2 Tons 6 No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons _ KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW I,�l❑ MonneMiunicipaloa 0 Oth - C No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 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: $26.000.00 (When required by municipal policy.) Work to Start: 3/28/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including`completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ce BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and compkte. FIRM NAME: Coastal Mechanical LIC.NO.:8082 Al Licensee: Jon T Moreau Signature2.ert.71/i8.4,¢Azi LIC.NO.: 22967-A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.•5OR-737-R747 Address: 21 I Fruean Ave S Yarmouth MA 02664 Alt.TeL No.:508-326-9699 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability irance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)Vid owner 0 owner's agent. Owner/Agent � // D Signature /v9 Telephone No. 508-737-8747 ( PERMIT FEE:$ 180.00 . oft,•.