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Home My WebLink AboutBLDE-23-001086 �, Commonwealth of Official Use Only I. , Massachusetts Permit No. BLDE-23-001086 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:8/30/2022 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) 210 STATION AVE Owner or Tenant DENNIS YARMTH REGIONAL SCHOOL Telephone No. Owner's Address STATION AVENUE, 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 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: Install receptacle&data ports(4)& 1 light switch. Main office. 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: 4 Heaters Signs 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. 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: 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:$0.00 ecurat9/7./217, e C.ommonwoa[th o j//Iadeacltaesll`e fficial Use Only "' c� c� 23-C19ec sr , 1lspartmeni o f ins..c rvic� Permit No. �.� t Y Occupancy and Fee Checked E BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] O (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK work to be performed in accoidaace with the Massachusetts Electrical Code(MEC),527 CMR 12.00 I- All (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/29/2022 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) 210 Station Ave Owner or Tenant DENNIS YARMOUTH REGIONAL SCHOOL Telephone No. Owner's Address 296 STATION AVENUE SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building Educational/Commercial Utility Authorization No. Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters NewService Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed ElecMcal Work: Main Office. Install(4)Plugs,(4)Data,Add(1)Light Switch VI Vt Completion of the following table may be waived by the Inspector of Wires. lb No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans No.of Total Ze Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pooi Above ❑ In- No.of Emergency Lighting arnd. grad. ❑ Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices 11 No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste DisposersHeat Pump I Number[Tons I KW No.of Self-Contained Totals: ....-_•____ _. ...._......._...�..__...._............. Detection/Alertin Devices No.of Dishwashers Space/Area HeatingKW Municip p Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent KW No.of No.of Data Wiring: 4 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: 800.00 (When required by municipal policy.) Work to Start: 8/31/2022 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 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 Signature5).ert-71/49.4.4.44c 22967-A LIC.NO.: (If applicable,enter"exempt"in the license number line.) Address: 21 1 Fniean Ave S Yarmouth MA 02664 Bus.Tel.No.: 508-737-8747 *Per M.G.L.c. 147,s.57-61,securityworkAlt.Tel.No.: 508-326-96g9 requires Department of Public Safety"S"License: Lic.No. 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)0 ownerowner's Owner/Agent 0 ' agent. Signature Telephone No. I PERMIT FEE:$ 75.00 I