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Home My WebLink AboutBLDE-23-003476 Commonwealth of ! Official use only Massachusetts Permit No. BLDE-23-003476 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:12/23/2022 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) 33 SUMMER ST Owner or Tenant BICKLEY DORIS S TR Telephone No. Owner's Address MORFOGEN GEORGE J TR, 33 SUMMER ST, YARMOUTH PORT, MA 02675 t_Nr? Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) '�( (� ft Purpose of Building _ Utility Authorization No. //`�6�`73� , �f�" 7 Existing Service 100 Amps 240 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: Service reconnect. 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 ,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 offperjury,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. I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 I t L' a hk S6'c(C i , / Hert - -2-9 7 4 3 2 (-Qv Ste,) i2e CC c-i- EP(I 5 T1NZ3 SV(1,111.e- 051 S Cammonroaa&el Maseae tte Official Use Only 4 t cc77 �i p'-.' )apartm.nf of Sin Services PennitNo. t:Z3-3'74 ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (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: 12/14/2022 City or Town of: Yarmni ith 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) 33 Summer St Owner or Tenant Irena Weatherley-Machohee Telephone No. Owner's Address 8 South St Dennis Port MA 02639 t Is this permit in conjunction with a building permit? Yes ❑ No rcZ1 (Check Appropriate Box) ! Purpose of Building Residential Utility Authorization No. 11462736 Existing Service 100 Amps 120/240 Volts Overhead LYJ Undgrd❑ No.of Meters _l_ New Service Amps / Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity #2 100 AMVolta P Location and Nature ot Proposed Electrical Work: Owner Not Going Through With Remodel Want Fxisting Service Reconnected V) Completion of the followin&table may be waived by the/nsector of Wires. TTransformersK K.(Paddle)Fans lb No.of Recessed Luminaires No.of Cell To.of ohl VA C CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting '' No.of Luminaires Swimming Pool grand. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones 2 No.of Switches No.of Gas Burners No.IonDetenitiatlng Dnevices and Z. Devices 11.1 No.of Ranges No.of Air Cond. Toosl No.of Alerting Devices n Heat Pump Number Tons KW No.of Self-Contained No.of Waste Dispose Totals: ...... ................_........_.... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑MonicOnna.MtiO n ther 0 o C No.of Dryers Heating Appliances KW Security of Systems:* e s orEquhalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDeviceor quivigd No.of Devices Egoivplent , OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 500.00 (When required by municipal policy.) Work to Start: 12/20/2022 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 NIA BOND 0 OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the deformation on this application it true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 8OR7 Al Licensee: Jon T Moreau Signature 7114,24 LIC.NO.: 22967-A ,z (/fapplicable,enter"exempt"in the license number line.) Bus.Tel.No: 508-737-8747 Address: 21 I Fruean Ave S.Yarmouth MA 02664 Alt.Tel.No.:508-326-9699 '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)0 owner 0 owner's agent. Owner/Agent ca Signature i SignaaturereTelephone No. PERMIT FEE:$ 50.00 _ � -_'� _ - , �� ' � . � ' ` } ` ' ^ - `-. �� '~ . ' , ' � ' '�� ' ' . ' ` . � ` ~ ' r . ` ' - . `' `~ � � , ` . ' =�'' / ~ ' `� ' ` �'' � ``` `` ` ' ^ ` ~- , _ ____-__ __ -- _ -- _- _____- _ -_--__' ___-__-- -�-_'_-_- -__-' ____--__ - ___ �___�-__- _- _ � _ - - - ' ^ - `� '� . ' ��. ' . � '^. � _``�v�'� ' ` . ` - -- - ' ^ ` ' ` � - - � - . - _ - �_- �_- --__-_� - - � . .. ` ' . ` ` ' |