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Home My WebLink AboutBLDE-22-005431 of Commonwealth of or Use Only tE. , Massachusetts Permit No. BLDE-22-005431 �„"» 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:3/29/2022 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) 115 CAPT BACON RD Owner or Tenant Bill Dagel Telephone No. Owner's Address 115 CAPTAIN BACON ROAD,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 split NC system. 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- ID 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 To 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 ❑ (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: $75.00 cJ(c e(e2 14 Commonwea[tk o`Maseackwas Official Use Only r Z •. _it +� �.par>~inenE o f.tir+�Jawic� Permit No. -' iZ-7�C "/l 0 + t BOARD OF FIRE PREVENTION REGULATIONS v��y 1/4and Fee Checked (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: 03/2212022 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) 115 Captain Bacon Rd Owner or Tenant Bill D a g e l Telephone No. Owner's Address 115 Captain Racnn Rd S Y_arcacuith MA 02AR4 Is this permit in conjunction with a building permit? Yes ❑ No Ed (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: & Electrical For The Install of a Fujitsu,12LMAS1,Wall Mounted,Mini Split,Heat Pump/Air Conditioning System Into the Living Room,to the left of the Fireplace VCompletion of the following table may be waived by the Infector of Wires. i.h No.of Recessed Luminaires No.of CelL-Su Trr anan K p.(Paddle)Fans Tf ohl sformers VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin pool Above In- No.of IN mergency Lighting g grnd. ❑ grnd. ❑ Battery Units '� No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners NNo.of Detection and Initiating Devices I L/ No.of Ranges No.of Air Cond. i Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number.,_Toea.,.M_KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW IA/cal❑ Mun ec 0 Other CyonneMion No.of Dryers Heating Appliances KWSecurity No. f Devices or Equivalent No.of Water , 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: $500.00 (When required by municipal policy.) Work to Start: 03/30/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE % BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this appl radon is true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature a g�j ,e LIC.NO.: 22967-A (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: 508-737-8747 Address: 21 L Fruean Ave S.Yarmouth MA 02664 Alt.TeL No.: 508-326-9699 ''Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability irrxwence coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) owner 0 owner's agent. Owner/Agent , l Signature /1/6 Telephone No. 508-737-8747 ( PERMIT FEE:$ 75.00