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Home My WebLink AboutBLDE-22-005883 Commonwealth of Official Use Only • fs AZ Massachusetts Permit No. BLDE-22-005883 ... 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:4/14/2022 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) 80 TROWBRIDGE PATH Owner or Tenant FAUCHER STEVEN Telephone No. Owner's Address FAUCHER CATHERINE, 80 TROWBRIDGE PATH,WEST YARMOUTH, MA 02673-3571 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. • f O Existing Service Amps Volts Overhead 0 Undgrd 0 e t i ? . ers New Service Amps Volts Overhead 0 Undgrd ❑ ' , o. , , �t Number of Feeders and Ampacity V Location and Nature of Proposed Electrical Work: Electrical connections for generator Q Completion of the following table mae' ,. b t e r of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ,;."��"' otal Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators 1 O A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Li 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 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: Licensee: Jon T Moreau Signature LIC.NO.: 22967 (I(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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 COmmonwwltk /rr/aesachiaeette Official7 Use Only �' . Y i cc77�� %cc77 [[�� Permit No.' -ZZ �S. d)epartmani o`.}ire Services •�: Occupancy and Fee Checked Af BOARD OF FIRE PREVENTION REGULATIONS [Rev.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: 04/1 1/2022 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) 80 Trowbridge Path Owner or Tenant Catherine&Steven Faucher Telephone No.508-737-8747 Owner's Address 80 Trowbridge Path W Yarmouth MA 02673�-�( Is this permit in conjunction with a building permit? Yes ❑ No yJ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Natureof PropoaedElectrical Work: Electrical Connections For Gas Generator rl Completion of the followinq table may be waived by the inspector of Wires. lb No.of Recessed Luminaires No.of CeiLsusp.(Paddle)Fans KVA No.of VA ,./. Transformers K C1 No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA Above In- No.of EmergencyLighting No.of Luminaires SwimmingPool ❑ ❑ itsg ItTnd. grind. Battery Unite -1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and FInitiating Devices Total IL! No.of Ranges No.of Air Cond. Too No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinnng_Devices No.of Dishwashers Space/Area Heating KW Local❑ConnictPecdon ❑Other No.of Dryers Heating Appliances KW Security :i Na of Devi ces or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or alvalent No.Aydromassage Bathtubs No.of Motors Total HP TelecommunicationsN a ofDevice sorEq t 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: 04/13/2022 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'V BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjnry,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.No.: 8082 Al Licensee: Jon T Moreau Signature a-7640rtc LIC.NO.: 22967-A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.Fne_7(7-R747 Address: 71 I Fruean Ave S Yarmnuth MA 0766 Alt.TeLNo.: 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)❑owner ❑owner's agent Owner/Agent lS_CV� Signature Telephone No. PERMIT FEE:S