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HomeMy WebLinkAboutBLDE-23-004340 Commonwealth of Official Use Only ii. ,A Massachusetts Permit No. BLDE-23-004340 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 Codc (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:2/6/2023 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) 6 HERITAGE DR Owner or Tenant DEREK MOSS Telephone No. /27 Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 ( e Appropriate Bdx) Purpose of Building Utility Authorization NO. 11899590 f `-'1� 1, Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of ers New Service 200 Amps Volts Overhead 0 Undgrd 0 of Meters Number of Feeders and Ampacity �' Location and Nature of Proposed Electrical Work: Upgrade service&wiring of NC system. 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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Siens 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 (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: $100.00 � N,�•, l 4 eergL,i i 3(4)/2 3 l C ktun,et" 1 l�3623 / g4 COntmonweaWh o yryyy77dd`///aacA.Wffd Official Use Only/� 1-0 2apartmani alpin Seruican PetmttNo. i Z3 43L Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS {Rev.l/077 (leave blank) Igi 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: 2/3/2023 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) 6 Heritage Drive Owner or Tenant Derek Moss Telephone No. Owner's Address 6 Heritage Drive W.Yarmouth MA 02673 Is this permit in conjunction wills a building permit? Yes 0 No V (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. 11899590 • Existing Service 100 Amps 120/240 Volts Overhead❑ Undgrd 0 No.of Meters 1 New Service 200 Amps 120/ 240Volts Overhead Undgrd Eir No.of Meters 1 Number of Feeders and Ampacity 180 Location and Nature of Proposed Electrical Work: Upgrade Underground Service From 100-200 amps. Wiring of A/C. VCompletion of the following table may be waived by the Inspector of Wires. 11. No.of Recessed Luminaires No.of Cell-Soap.(Paddle)Fans No.of Total Si Transformers KVA 3 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting d: No.of Luminaires Swimming Pool 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 F initiatingg Devices IL! No.of Ranges No.of Mr Cond. 1 To el 3 No.of Alerting Devices ra Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: 7 8..__..._.._.._......— Detection/AlertingDevices al No.of Dishwashers Space/Area Heating KW Local 0 MConnectuuicipion 0 Other No.of Dryers Heating Appliances KW Security Systems:` ry No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent ydromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 10.000 (When required by municipal policy.) Work to Start: 2/1 0/2023 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 cover age is in force,and has exhibited proof of same to the permit issuing office. 4 CHECK ONE: INSURANCE a BOND 0 OTHER❑ (Specify:) I certify,under the pains and penalties of pedary,that the information on this application is true and complete. FIRM NAME: Coastal Mechanical LIC.NO.: 8082A1 Licensee: Jon Moreau Signature 241v 4.44//l/ LIC.NO.: 29967-A (if applicable,enter"exempt"in the license number line.) Bus.TeL No:5QR-737-B747 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: 1 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 PERMIT FEE:$100.00 Signature Telephone No.