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
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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.
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