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HomeMy WebLinkAboutBLDE-22-007446 .� �JI Commonwealth of OfficialUse Only k Massachusetts Permit No. BLDE-22-007446 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:6/28/2022 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) 24 CHARLES ST Owner or Tenant Amy MacIseac Telephone No. Owner's Address 24 CHARLES ST,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate�/ Box) / uj r>vn 4 2 C.Purpose of Building Utility Authorization No. [�. 2. 1 £tom$ Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 200 Amps Volts Oserhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service upgrade,recessed lighting,HVAC,&replacement devices. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 No.of Ceil:Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ave ❑ In- ❑ No.of Emergency Lighting grbond. grnd. Battery Units No.of Receptacle Outlets 26 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 18 No.of Gas Burners 1 No.of Detection and Initiation Devices No.of Ranges 1 No.of Air Cond. 1 Ton l 2.5 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 6 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sinus 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 ❑ BOND 0 OTHER 0 (Specify:) �,^����rg�I j.-7 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 'l� `T l 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$180.00 • t 'r2ca,�(F 4 C i9 r`^,v'T FDA sa1tjta tv/c - nIbR $a15 fgVE#s eI ta42 — rm.a., NoiG 3/2-3/23 7 5417411 OLD lP(t23 _ _ Commontesa[d►o`/I/adaae/uadotta Official Use Only/t E ,.. . .., :.!,/ cc�� cc77 Permit No. I�ZZ--7"1 4-� SServiced-.• e _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Oh 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: 06/22/2022 • r; City or Town of: Yarmouth To the Inspector of Wires: Mil By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 24 Charles St Owner or Tenant MACISAAC AMY TRS AMY MACISAAC REV TRUST Telephone No. •) Owner's Address 24 Charles St S. Yarmouth MA 02664 qt.' Is this permit in conjunction with a building permit? Yes ❑ No gi (Check Appropriate Box) ill Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters • In New Service 200 Amps 120 /240 Volts Overhead❑ Undgrd 0 No.of Meters 1 In Number of Feeders and Ampacity 3-180 ,II Location and Nature of Proposed Electrical Work: New Electrical Service. Recessed Lighting Throughout. Swapping Devices. Furnace.A/C. Smoke Detectors VI Completion of thefollowingtable may be waived by the Inpector of Wires. vio lb sp•� Transformers KVA No.of Recessed Luminaires 20 No.of Cei1.-Sa addle)Fans 2 No. f Q No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA 47 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool �� ❑ arnd. 0 Battery Units J No.of Receptacle Outlets 26 No.of Oil Burners FIRE ALARMS No.of Zones t No.of Switches No.of Gas Burners 1 No.ofn Detectionn and F 18 Initiating Devices Total 1 Li No.of Ranges 1 No.of Air Cond. 1 Tons 2.5 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW. ...... No.of Self-Contained P� Totals: Detection/AlertinpgDevices 6 No.of Dishwashers 1 Space/Area Heating KW LocalConneiction ❑ Other No.of DryersHeating Appliances KW urity Systems:* 1 No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDevicesor quivid Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 45000.00 (When required by municipal policy.) Work to Start: 06/22/2022 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 a 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: Coastal Mechanical LIC.NO.: 8082 Al Licensee: Jon T Moreau Signature I n.ki&t.2.aGG LIC.Na: 22967-A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. 508-737-8747 Address: 21 L 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 ❑owner's agent. Owner/Agent PERMIT FEE: $ 180.00 Signature Telephone No. 7 P-_• ?/1 S t7-"r1 c;3.7' DeL; i2')41e- QD r �l N r?t 7'!�- r V P- VlJ t tL C7Lr7 Cot/i 67) tAi/ " 4 1 •