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Home My WebLink AboutBLDE-23-002863 Commonwealth of Official Use Only ►�' Massachusetts Permit No. BLDE-23-002863 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:11/23/2022 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) 16 AURORA LN Owner or Tenant JEANNIE DONAHUE Telephone No. Owner's Address 16 AURORA LN, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ 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: Basement bathroom. 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- IDNo.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 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 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 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 Licensee: JEFFREY S DEROUEN Signature LIC.NO.: 22206 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 Hedges Pond Road, Plymouth MA 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: $75.00 I `le t C f t ucr /c) c: ,na�utr- r 21gvi-t nn ��// �j� // Print Form (�ommonweatth 01//ladoachulettd Official Use Only 5, a(Je artrmaen�o ,}ire�ervicea Permit No. E 2-3 CJ�SJ C __ 1 BOARD OF FIRE PREVENTION REGULATIONS [ e .Occupancy7 and Fee Checked -Nri.� (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: 11/22/22 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) 16 Aurora Lane Owner or Tenant Jeannie Donahue Telephone No. 781 178-5282 Owner's Address 16 Aurora Lane South Yarmouth, MA Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building House Utility Authorization No. Existing Service 200 Amps 120 / 240 Volts Overhead ✓ Undgrd n No.of Meters 1 New Service Amps / Volts Overhead n Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Basement bathroom Completion of the following table may be waived by the Inspector of Wires. ❑ 1— o.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total `�IT- z Transformers KVA 71o.of Luminaire Outlets No.of Hot Tubs Generators KVA N i Q o.of Luminaires Swimming Pool Above ❑ [n- ❑ No.of Emergency Lighting grnd. grnd. Battery Units Ll i€ CV t i o.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Ci t i Z 1Q o.of Switches No.of Gas Burners No.of Detection and LU Initiating Devices x _e No.of Ranges Total No.of Air Cond. Tons No.of Alerting Devices cc L�m Heat Pump Number Tons KW No.of Self-Contained m m No.of Waste Disposers Totals '°" �� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 1._ Municipal ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters KW Signs Ballasts Data Wiring: g 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: 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 o.fp perjury,a that the information on this application is true and complete. FIRM NAME: EAV Solutions, LLC LIC.NO.:860 Al Licensee: Jeffrey Derouen Signature (If applicable,enter "exempt"in the license number line.) _ JQ/Z6L�QyL LIC.NO.:22206-A Address: 110 Hedges Pond Road Cedarville, MA 02360 Bus.Tel.No.:(508)245-7155 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. (781)589 5692 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. I PERMIT FEE: $75.00 I