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Home My WebLink AboutBLDE-22-003796 aF- Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003795 _ 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:1/7/2022 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) 51 CURVE HILL RD Owner or Tenant Manuel Atienza 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 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Addition&remodel of existing residence. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 20 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets 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 31 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 21 No.of Gas Burners No.of Detection andInitiatine Devices No.of Ranges 1 No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices al Munici No.of Dishwashers 1 Space/Area Heating KW Local 0 Connection 0 Other: Heatin Appliances KW Security Systems:* No.of Dryers 1 g PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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: LIC.NO.: 22967 Licensee: Jon T Moreau Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.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: 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 I PERMIT FEE: $I 50.00 I Signature Telephone No. rZ (( I� cJ\( 4C_/ t /2'2iV — - Official Use Only Commonwealth of Massachusetts �2, 37?� Permit No. " -- t Department of Fire Services Wit- p Occupancy and Fee Checked x t S [Rev.9/05 A�_ BOARD OF FIRE PREVENTION REGULATION l (leave blank) �'� APPLICATION FOR PERMIT dance bTO the aPERFOssachusetts eRtreM�ELECTRICAL WORK (MEC),527 CMR o0 All work to be performedin Date: 01/04/2022 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D Do the Inspector of Wires: City or Town of: South Yarmouth 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 Telephone No. Owner or Tenant Manuel and Jean Atienza Owner's Address Same No � (Check Appropriate Box) Is this permit in conjunction with a building permit? Yes I I Utility Authorization No. Purpose of Building Residence Existing Service Amps / Volts Overhead I I Undgrd I No. of Meters ?,k New Service Amps / Volts Overhead U Undgrd l No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Addition and Remodel of Existing Home Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 20 No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA Above In No.of Emergency Lighting No.of Luminaires 12 Swimming Pool grnd. ❑ grnd. ❑ Battery Units G No.of Oil Burners FIRE ALARMS INo.of Zones No.of Receptacle Outlets 31 on and et Decti No.of Detection No.of Switches 21 No.of Gas Burners If ia Devices Total No.of Alerting Devices No.of Ranges 1 No.of Air Cond. Tons `/1 Heat Pump Number Tons KW No.of Self-Contained .....�� No.of Waste Disposers Totals: Detection/Alerting Devices l❑ Municipal Other Local No.of Dishwashers 1 Space/Area Heating KW Connection ❑ ty Systems:" i Heating Appliances KW Security of Devices or E uivalent No.of Dryers 1 No.of Data Wiring: No.of Water KW Ballasts No.of Devices or E uivalent Heaters Si ns Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 16,000.00 (When required by municipal policy.) Work to Start:ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the a�nercompletedt for operattone eTformance of electrical work co e age or its substantial equivalent. The unlessthe licensee provides proof of liability insurance including p 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. LIC.NO.:22967 A FIRM NAME: Coastal Mechanical Licensee: Jon Moreau LIC.NO.:8082A Signature 508-737-8747 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: Alt.Tel.No.:508-326-9699 Address: 21 L Fruean Ave-South Yarmouth,MA 02664 xSystem Contractor License required for this work;if applicable,enter the license number here: Security liowner's a: nt. OWNER'S INSURANCE WAIVER: I am aware that the Licensee I am the(che k one insurance❑ owner [I] normally required by law. By my signature below,I hereby waive this requirement. PERMIT FEE: $ Owner/Agent Telephone No. Signature