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
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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.