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HomeMy WebLinkAboutBLDE-22-004484 Commonwealth of Official Use Only � Permit No. BLDE-22-004484 ILA` Massachusetts 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:2/14/2022 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) 51 CURVE HILL RD Owner or Tenant Jean Conrad Telephone No. Owner's Address 51 CURVE HILL RD,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 28 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets 12 No.of Hot Tubs Generators KVA SwimmingPool Above 0 In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets 42 No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches 36 No.of Gas Burners Initiating Devices No.of Air Cond. 1 Total 3 No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices 0 Municipal 0 Other: No.of Dishwashers Space/Area Heating KW LocalConnection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. required Value of Electrical Work: (When q uired 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 ❑ 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 Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) 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: $100.00 l .ve€1 36 (PZ _,+ Commonwealth of Massachusetts //O``ffiiciia'l Use Only A —* t Permit No. l�7Z 44814 -mil Department of Fire Services =E_ Occupancy and Fee Checked \-- BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: 2/8/2022 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) 51 Curve Hill Road Owner or Tenant Jean Conrad Telephone No. Owner's Address 51 Curve Hill Rd, South Yarmouth, Ma 02664 Is this permit in conjunction with a building permit? Yes VI No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120/ 240 Volts Overhead VI Undgrd ri No.of Meters 1 New Service 200 Amps 120 / 240 Volts Overhead® Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 28 No.of CeilTotal :Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets 12 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 42 No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Switches 36 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 TotalonsAlerting 3 No.of Devices T No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* __. No.of Devices or Equivalent No.of Water KW 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: 18,200.00 (When required by municipal policy.) Work to Start:2/9/2022 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 ® 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 Al Licensee: Jon T Moreau Signature it-2-711g z. LIC.NO.:22967-A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-737-8747 Address: 21 1 Fruean Ave South Yarmouth MA 02664 Alt.Tel.No.:508-326-9699 *Security System Contractor License required for this work;if applicable,enter the license number here: 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 � /) ��//� Signature ���Ge".1 t44:../!/d�(e�L Telephone No. 508-737-8747 PERMIT FEE: $100.00