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Home My WebLink AboutBLDE-23-005347 Commonwealth of Official Use Only �;. 13 Massachusetts Permit No. BLDE 23-005347 'gip BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:3/29/2023 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. a 6 �� Location(Street&Number) 6 Bakers Path C�6 n1e.(^F�-'C Owner or Tenant REpurpose Construction Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) x Purpose of Building Utility Authorization No. 12449826 V( 0 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters — New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiatine Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices 0 Municipal No.of Dishwashers Space/Area Heating KW LocalConnection 0 Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent 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: EAV SOLUTIONS LIC.NO.: 22206 Licensee: JEFFREY S DEROUEN Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 110 Hedges Pond Road, Plymouth MA *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 0 owner's agent. signature below,I hereby waive this requirement.I am the(check one) 0 ownerI Owner/Agent 'PERMIT FEE: $180.00 Signature Telephone No. 4-fiez ;�-0--�c , s(c.1-73 - 1�1 ,, 6iiN n —)0'2 /77-, Y"--_ e `0 Print Forme R E C E E �f E ® I_...—prin Official Use Only 3 _�)--��— = MAR 2 9 2023 P---mitNo. 4: =:1�=� a= 2epartment of 1.€1 ; --- Occupancy and Fee Checked C — BOARD OF FIRE PREVENTt �uT�"E ems• 1/071 (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: 3/28/23 To the Inspector ofWires: City or Town of: Yarmouth P By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)6 Bakers Path Owner or Tenant REpurpose Construction Telephone No. 774 454-0411 Owner's Address 55 Main Street Bourne, MA 02532 Is this permit in conjunction with a building permit? Yes [1 No I i (Check Appropriate Box) Purpose of Building House Utility Authorization No. 12449826 _ Existing Service Amps / Volts Overhead Undgrd ri No.of Meters New Service 200 Amps 120 / 240 Volts Overhead ✓ Undgrd Li No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New house with a 200 amp overhead service Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: 1 i Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ , (Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent Heaters Signs Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and LIC.complNO.e e. Al FIRM NAME: EAV Solutions, LLC ��u� LIC.NO.:22206-A Signature �� Licensee: Jeffrey Derouen g Bus.Tel.No.:(508)245-7155 (ffapplicable,enter "exempt"in the license number line.) Alt.Tel.No.:(781)589-5692 Address: 110 Hedges Pond Road Cedarville, MA 02360 *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,1 hereby waive this requirement. 1 am the(check one)❑owner ❑owner's 00agent.I Owner/Agent Telephone No. I PERMIT FEE: Signature