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Home My WebLink AboutBLDE-23-004251 Vp-5 Commonwealth of Official Use Only (ON- Massachusetts Permit No. BLDE-23-004251 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:1/31/2023 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) 7 CAPT BLOUNT RD Owner or Tenant CURLEY SUSAN M Telephone No. Owner's Address 7 CAPT BLOUNT RD, SOUTH YARMOUTH, MA 02664-2810 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: Wire Ac , and Single zone Air Handler 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- ❑ 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 Initiating 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 p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 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 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.1 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 715(1.)3 0-. ier-T----050 04- C--lb -- Si-1001,P> G kNA,1( ,--s 41) c.k gl`Ls (-lrs : \ Commonwealth el rfiamacLutt.4 Official Use Only c/� (-7Permit No, - ; 1/2 5 ''_'01'' a1)eparinuni of_tire ervica6 I ` Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI 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: 1/27/2023 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. U Location(Street&Number) 7 C a pt Blount Rd Owner or Tenant Joanne Santino Telephone No. " .__)` Owner's Address 146 Shore Dr Nashua NH 03062 Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd No.of Meters New Service Amps / Volts Overhead E Undgrd E No.of Meters ��--' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for single zone american standard air handler and condenser 4>- Completion of the following..table may be waived by the Inspector of Wires. No.of 'Total tIt No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA C: No.of Luminaire Outlets No.of Hot Tubs Generators KVA Ci Above In- No.of Emergency Lighting At_ No.of Luminaires Swimming Pool pad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and z No.of Switches Initiating Devices It' No.of Ranges No.of Air Cond. 1 Tons 2.5 No.of Alerting Devices Heat Pump Number Tons KW_ No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of Data Wiring: Ballasts Heaters Signs No.of Devices or Equivalent Telecommunications Siring• 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: 1500.00 (When required by municipal policy.) Work to Start: 1/31/2023 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 ' BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 8082 Al Licensee: Jon T Morcgu Signatureii., LIC.NO.: 22967-A (If applicable,enter"exempt'in the license number line.) Bus.Tel.No.: 5n8-737-R747 Address: 21 L Fruean Ave S. Yarmouth MA 02664 Alt.TeL No.:5n8-376-9699 *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 insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 50.00