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