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Home My WebLink AboutBlde-22-004144 ,- Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-004144 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:1/25/2022 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) :fi ST Owner or Tenant TOWN • -- Telephone No. Owner's Address WATER DEPT, 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity - >, Location and Nature of Proposed Electrical Work: 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 ❑ Municipal ❑ 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: JOHN A GUARRACINO Licensee: John A Guarracino Signature LIC.NO.: 22086 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 DURHAM DR, LYNNFIELD MA 019401237 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: $0.00 eltC b iDf • f . Commonweal o/ aMac seito Official Use Onl -z I �, r , �, ,. '� -� �t cc��rr�� cc77 Permit No. �� (.-{� �-{•�-r . __ 0 �bepariment oi.}ire Serviced : 1- " Occupancy and Fee Checked ''-J BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 01/20/2022 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) 373 North Main Street-South Yarmouth, MA 02664 Owner or Tenant Yarmouth Pump Station-County Property Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑■ No ❑ (Check Appropriate Box) Purpose of Building MixUsed/Commercial Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yarmouth Pump Stations#6.Misc.Low Voltage HVAC Control Wiring-AP-219347 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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. Initiating of Detectionand Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices 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❑ CMuniciponnectiaonl ❑ Other No.of Dryers Heating Appliances Kam, Security Systems:* y No.of Devices or Equivalent E No.of Water KW No.of No.of Data Wiring: 0 Heaters Signs Ballasts No.of Devices or Equivalent o u No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo fDevices or qu v l No.of Devices Equivalent -, OTHER: a) u Attach additional detail if desired, or as required by the Inspector of Wires. E Estimated Value of Electrical Work: 4330.00 (When required by municipal policy.) @j Work to Start: 01/22/2022 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 a) undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. a CHECK ONE: INSURANCE ❑■ BOND ❑ OTHER ❑ (Specify:) cr • I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: J M Electrical Company Inc. �/ LIC.NO.: 3114 Al '"CS Licensee: John Guarracino Signature IF LIC.NO.:22086 A < /1 (If applicable, enter "exempt"in the license number line.) �� Bus.Tel.No.:781-5e1-3328 Address: 471 Broadway,Lynnfield,MA 01940 Alt.Tel.No.: *Per M.G.L. c. 147,s.57-61,security work requires Department fPu, is Safety"S"License: Lic.No. RI OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Erequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. W Owner/Agent PERMIT FEE: $ 00.00 Signature Telephone No.