Loading...
HomeMy WebLinkAboutBLDE-23-004213 off _.- Commonwealth of Official Use only Massachusetts Permit No. BLDE-23-004213 "`"'� 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:1/30/2023 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. Location(Street&Number) 9 VICTORY LN Owner or Tenant RINALDI ANDREA L Telephone No. Owner's Address 41 NAUSET RD,WEST YARMOUTH, MA 02673 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: Renovations/remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 41 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 18 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 6 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 1 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 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: 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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: $150.00 I F7t oceil 5/3z(73 et Cro,Ai ,Dins r5cc c AVP.. -7 0 z3 L F � �j Coo of///aeeac/uiedtfa Official Use Onl 8 ,,---. B' `7 `�epartment 0/cc�7 ing �`7 Permit No. Faced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked = ' [Rev. I/07] (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: 1/2_6/2023 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. Location(Street&Number) 9 Victory Ln Owner or Tenant Todd Olson Telephone No. Owner's Address 3 YPnman lr W Yiqrmnitth MA f17_673 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) —t Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Whole House Flectrical For Renovation `, Removal of misc electrical. Panel Upgrade. Completion of the followingtable may be waived by the Inspector of Wires. 14) No.of Recessed Luminaires 4 No.of Ceil.-Sasp.(Paddle)Fans No.of Total Transformers KVA nNo.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires 15 Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grad. ❑ Battery Units No.of Receptacle Outlets 41 No.of OH Burners FIRE ALARMS (No.of Zones No.of Switches 18 No.of Detection and No.of Gas Burners Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number I Tons J KW No.of Self-Contained Totals: Detection/Alertin, Devices 6 No.of Dishwashers Space/Area Heating KW Local 0 Municipal Other Connection ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters 1 KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9,700.00 (When required by municipal policy.) Work to Start: 2/6/2023 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 1,0 BOND 0 OTHER 0 (Specify:) !certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.No.: 229 A Licensee: Jon Moreau signature (9y -1A,/ (If applicable,enter"exempt"in the license number line.) jJ if. `��� �� LIC.NO.: 8082 q 1 Address: 21 L Fruean Ave S. Yarmouth MA 02664 Bus.Tel.No.: 50R-737-8747 *Per M.G.L.c. 147,s.57-61,security work requires Alt,TeL No.:5nfi 32Fi 9599 License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the:aLiiccen 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's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 150.00