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Home My WebLink AboutBLDE-22-005656 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005656 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:4/4/2022 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) 19 BUNTING LN Owner or Tenant Timothy Burgess Telephone No. 9784071157 Owner's Address 721 Lenox Street,Athol, MA 01331 Is this permit in conjunction with a building permit? Yes El No 0 (Chec4,4ii)e Box) Purpose of Building Utility Authorization N Existing Service Amps Volts Overhead CIUndgrd "r'2�11Noter�5 I New Service Amps Volts Overhead 0 Undgrd 'j o/bf t 's,t" Number of Feeders and Ampacity , `, Location and Nature of Proposed Electrical Work: Replacement of Furnace `' �I R f`rr f f q r'. Completion of the following tablery ai b}t. ,•ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers +��j VA No.of Luminaire Outlets No.of Hot Tubs Generators •J 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 1 No.of Detection and Initiatine 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 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: 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 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: $50.00 Commonwealth o`cc-Maasac Official Use Only • ,� 2eparfimeni of ine Services Permit No. � — 56 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. i/071 (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: 04/01/2022 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) j rn04-h y B mess Owner or Tenant 19 Bunting Lane Telephone No. 978-407-1157 Owner's Address 721 Lenox St Athol MA 01331 Is this permit in conjunction with a building permit? Yes ❑ No 0 (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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement Of Furnace Completion of the followin table may be waived by the Inspector of Wires. th No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans o.of Total Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Unita v 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 1 U No.of Ranges No.of Air Cond. Tonal 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 Heating KW Local 0 CoMuninnect ❑ Other ion No.of Dryers Heating Appliances 1 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 TekNo.of Devices of Deviaiceso s Wiring s or Equiv eat OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6,277.00 (When required by municipal policy.) Work to Start: 04/01/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penaltks of perjury,that the information on this application is true end complete. FIRM NAME: Coastal Mechanical LIC.NO.: 4350 Licensee: Troy J Gilbert Signature / y,a..z--- LIC.No.:25383 (If applicable,enter"exempt"in the license number line.) / Bus.Tel.No. Sf)R-717-8747 Address: 21 L Fruean Ave S. Yarmouth MA 02664 Alt.TeL No.6 08-8c0-F955 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ irj.q)