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Home My WebLink AboutBLDE-23-001239 Commonwealth of Official Use Only E.- t Massachusetts Permit No. BLDE-23-001239 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:9/7/2022 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) 6 WILSON RD Owner or Tenant COLEMAN JOSEPH Telephone No. Owner's Address COLEMAN JEANNE, 118 SHEFFIELD RD,WALTHAM, MA 02451 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: Replacement furnace. 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 ❑ grnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 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 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detcction/Alerting,Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection 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.qf 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: (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 ofperjury,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 *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) IZI owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $50.00 etZ Cq(Ctbil-' ee/ ..�. w 114 l.onunonweaitk 4///aeeacmuasth Official Use Only ��U �1 •l G.- 5 -'1 , s Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked U [Rev. 1l07] (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: 9/6/2022 • 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) 6 Wilson Road Owner or Tenant Joseph & Jeanne Coleman Telephone No. Owner's Address P.O. Box 1266 S. Yarmouth MA 02664 letb Is this permit in conjunction with a building permit? Yes El No gj (Check Appropriate Box) J Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ill New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: Wiring for replacement furnace VI Completion of the followinktable may be waived by the Infector of Wires. 1.33 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 ,t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units �k No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices 11 J No.of Ranges No.of Air Cond. Tod No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingMunicipal p KW Local❑ Connection 0 other No.of Dryers Heating Appliances 1 KW Security Systems:* No.of Water No.of Devices or Equivalent KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devicese or Equivalent No.Hydromaas:ge Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivtdent OTHER: Replacement Of Furnace Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 500,00 (When required by municipal policy.) Work to Start: 9/12/2022 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 cerlmfy,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 22967-A Licensee: Jon T Moreau Signature if.W19. 0 LIC.NO.: 8082 Al (If applicable,enter"exempt"in the license number line.) Address: 21 I FI I IParl AvP S Yarmouth MA 02 q Bus.Tel No.: - - 7 *Per M.G.L.c. 147,s.57-61,security work requiresAlt.TeL No.:�(1R_��F_gEg9 OWNER'S INSURANCE WAIVER: I am aware that the Departmentensee doer Safety thLicense: I liability ty insurance coc. veragecoverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner ■ owner's ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 50.00 vormni, ^•