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Home My WebLink AboutBLDE-23-001384 Commonwealth of official Use Only '', .i. ; Massachusetts 0 Permit No. BLDE-23-001384 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked of [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:9/15/2022 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) 14 AMELIA WAY Owner or Tenant GREENE RONALD Telephone No. Owner's Address GREENE MELISSA, 14 AMELIA WAY, 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 _T_ 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: Remodel kitchen&install bath room exhaust fan. 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 41 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained I Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal Li Other: Connection No.of Dryers Heating Appliances KW Security Systems:* 1' No.of Devices or Equivalent v+ ' No.of Water KW No.of No.of Ballasts Data Wiring: y 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 h 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:) 0 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: 1 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 ck Signature Telephone No. PERMIT FEE: $75.00 EN Z tied/ q(f t t ?/W tNJ - ¼i2J 114 Commonwealth o f Maddacluedetld Official Use Only 3. .q�� c-� Permit No. tp epartaseni of ire serviced i} r .f BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07) (leave blank) if 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: 09/14/2022 City or Town of: Yarmniith To the Inspector of Wires: ` By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 4. Location(Street&Number) 14 Amelia Way Owner or Tenant Melissa & Ronald Greene Telephone No. I Owner's Address 14 Amelia Way South Yarmouth t Is this permit in conjunction with a building permit? Yes 0 No g (Check Appropriate Box) f Purpose of Building Residential Utility Authorization No. . Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 411 New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters 1111. Number of Feeders and Ampaclty Illi Location and Nature of Proposed posed Electrical Work: Kitchen Remodel, installing exhaust bath fan. , Completion of thefollowingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Soap.(Paddle)Fans No.of tal Z. Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA , . No.of Luminaires 2 Swimming Pool Above In- No.of Emergency Lighting grind. 1-1 mod. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS !No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices l No.of Ranges 1 No.of Air Conti. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained Totals:I -"" --'""' _ Detection/Alertingpevices No.of Dishwashers 1 Space/Area Heating KW Local Mnnniecicptiaoln Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Datao.Wiring: or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equiv ent 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:9/14/2022 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 NO BOND 0 OTHER 0 (Specify:) I ceruffy,under the pains and penalties of pedury,that the information on this application Ls true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau 5).6*.it/kit,enter"exempt"in the license number line.) Signature LIC.NO.: 22967-A Address: 21 L Fruean Ave S. Yarmouth MA 02664 Bus.TeL No. 5n8-7 -8747 TNo *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie No..: 5.0$ 326 9R9Q 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)❑owner Owner/Agent ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ 75.00 l