HomeMy WebLinkAboutBlde-22-004143 Commonwealth of Official Use Only
1444111 Massachusetts Permit No. BLDE-22-004143
P 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 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 6 • lion to perform the electrical work described below.
Location(Street&Number)
Owner or Tenant TOWN 0 • •s 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 ❑ 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. Tonal 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 ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Eauivalent
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: 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
Commonwealth o`9aaeachudette Official Use Only
it l c� Permit No. 6,Z,7i'4(L J
i ►—=�i_. 2Jepartment of ire�eruiceJ
is ='[_L__ " Occupancy and Fee Checked
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#8.Misc.Low Voltage HVAC Control Wiring-AP-219347
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.roof KVA
P• Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting
g grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. InDete and
Initiatinnggon Devices
Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P Connection
No.of DryersHeating Appliances KW -Security Systems:*
No.of Devices or Equivalent
E No.of Water KW No.of No.of Data Wiring:
o Heaters Signs Ballasts No.of Devices or Equivalent
u Telecommunications Wiring:
To u No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
v OTHER:
✓ Attach additional detail if desired, or as required by the Inspector of Wires.
v
E Estimated Value of Electrical Work: 4330.00 (When required by municipal policy.)
•faj Work to Start: 01/22/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
Ln
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 ❑ (Specify:)
rn I certify,under the pains and penalties of perjury,that the information on th•s application is true and complete.
FIRM NAME: J M Electrical Company Inc. g ' dir
LIC.NO.: 3114 Al
Licensee: John Guarracino Signature y �� LIC.NO.:22086 A
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:781-581-3328
Address: 471 Broadway,Lynnfield,MA 01940 Alt.Tel.No.:
•,...4 *Per M.G.L.c. 147,s. 57-61,security work requires Departmen of Public Safety"S"License: Lic.No.
Cd OWNER'S INSURANCE WAIVER: I am aware that the Lit-nsee 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 0 owner's agent.
W Owner/Agent PERMIT FEE: $ 00.00
Signature Telephone No.