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Home My WebLink AboutBLDE-22-006557 St ¢f}rr - Commonwealth of Official Use Only • ^►`• 1 Massachusetts Permit No. BLDE-22-006557 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:5/16/2022 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) 24 CHARLES ST Owner or Tenant Amy Maclsaac Telephone No. Owner's Address 24 CHARLES ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (C ' :.x) Purpose of Building g Utility Authorization No: k Existing Service 100 Amps Volts Overhead 0 Undgrd 0 =, - , , e e ' t New Service Amps Volts Overhead 0 Undgrd 0 No.of Mete fj Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 Ballasts Data Wiring: 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 ❑ OTHER ❑ (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:$50.00 SCommenwsaltk el M7caseachu sifs Official Use Only ' '/ 2spartnunl oj.ti.r s Permit No. LZ b � * srvtces and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]Occupancy (leave blank) 3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO RK 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: 5/10/2 022 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) 24 Charles St Owner or Tenant MACISAAC AMY TRS AMY MACISAAC REV TRUST 3 Telephone No. Owner's Address 24 Charles St Si Yarmouth MA 02664 I Is this permit in conjunction with a building permit? Yes 0 No [a (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 9035419 Existing Service 100 Amps 120 /240 Volts Overhead 21 Undgrd 0 No.of Meters 1 . New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Am�" pacify 4/20AMP Location and Nature of Proposed Electrical Work: Temp Service Completion of the followinktabk may be waived by the Inspector of Wires. Lb No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total S Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pit Above ❑ In- ❑ Pio.of Emergency Lighting and. und. Battery Units ;:zi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ® No.of Switches No.of Gas Burners No.of Detection and l ¢ Initiating Devices No.of Ranges No.of Air Cond. Tonsl 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 HeatingKW Muni=i p Local❑ Connection 0 "her No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. No.of Devices or Equivalent KW No. 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: 400.00 (When required by municipal Work to Start: 5/11/2022 policy.) 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 ❑ (Specify:) I ceYify,under the pains and penaldes ofperjury,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature pi,j 4,4.4i6 LIC.NO.: 22967-A Of applicable,enter"exempt"in the license number line.) 4 Bus.TeL No.: 508 737-8747 Address: 21 L Fruean Ave S. Yarmouth MA 02664 *Per M.G.L.c. 147,s.57-61,security work requires Alt.TeL No.: 508-326-9699 License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that Department �e�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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 50.00