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Home My WebLink AboutBLDE-22-004712 or Commonwealth of Official Use Only • 4 1% Massachusetts Permit No. BLDE-22-004712 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:2/25/2022 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) 80 WILFIN RD io . Telephone Owner or Tenant Josh Bilotta Owner's Address SOUTH YARMOUTH, MA 02664 �� Is this permit in conjunction with a building permit? Yes 0 No 0 Bo140 . •n /zifr Purpose of Building Utility Authorizatio ., A Existing Service Amps Volts Overhead 0 Undgrd - AT Pry I ► '— 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 20 No.of Ceil.-Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Luminaire Outlets 8 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 58 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 39 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained 6 Totals: Detection/Alertine 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: (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. c q ` C CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) �g� 7-6 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 0 le_ -747e tiri . --- / I ko ur,41 14--CT2' cila Ciii(zi-es ."- RE, 8if p. N t- �4 0i dE -Coaais) 3/Ns-I z2 f c 6 i/ e- C>4.7.) 6 ail,— gite-omp '�.) 3Itq272' . 4t12/j27 'Frbzci- C, , ter @la l - S4 Commonwealth o1 1/)aeeachaeettecial Use Only �� c� Permit No. ; 2—L"\ 7 l .7 r1! epartmeni of gi e�ervicee BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Cnkd [Rev.1/07] (leave blank)) cke APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 C � ' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 02/24/2022 '-V E City or Town of: Yarmouth To the Inspector of Wires: FEB 24 2022 By this application the undersigned gives notice of his or her intention to perform the electrical work described to . Location(Street&Number) 8 U i L D r N J Josh Bilotta ay __ DEPARrME�. Owner or Tenant Telephone No. ____ __ _ _ Owner's Address 50 BILOTTA WAY FITCHBURG, MA 01420 Is this permit in conjunction with a building permit? Yes 0 No Ez (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 7541839 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service 200 Amps 120/ 240 Volts Overhead❑ Undgrd 121 No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New Build Vs V Completion of the followinktable may be waived by the Inspector of Wires. th No.of Recessed Luminaires 20 No.of Cell.-Snap.(Paddle)Fans 2 No.of Total "CTransformers KVA No.of Luminaire Outlets 8 No.of Hot Tubs Generators KVA rA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting mid. Li arid. Battery Units No.of Receptacle Outlets 5R No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and 39 No.of Gas Burners Initiating Devices 6 No.of Switches i I No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons.._._KW No.of Self-Contained Totals: �� Detection/Alertin. Devices No.of Dishwashers Space/Area Heatin KW Municipal 1 g Loal❑ ConneMioa 0 Other No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.No.of Devices or Eguiv ent OTHER: 2 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 0, 000 00 (When required by municipal policy.) Work to Start: 02/24/2022 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 covFage is in force,and has exhibited CHECK ONE: INSURANCE BOND OTHERproof of same to the permit issuing office. I certify,under the pains and penalties o 0 (Specify:) fperury,that the information on this application Ls true and complete FIRM NAME: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature rt..�7,1 (If applicable,enter"exem t"in the license number line.) �r ��G LIC.NO.: 22 A Address: 21 L Fruean Ave S. Yarmouth MA 02 4 Bus.TeL No.: .SnR_7a7_R747 *Per M.G.L.c. 147,s.57-61,security work requiresc Alt.TeL No.: OWNER'S INSURANCE WAIVER: I am aware tht the Licensee not h�sthe liability insurance coverage normally required by law. By y signature below,I hereby waive this Owner/A ntreNent• I am the(check one owner owner's a ent. Signature �� Telephone No. 508_7R7_8747 PERMIT FEE:$ 180.00