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HomeMy WebLinkAboutBlde-22-004519 Commonwealth of Official Use Only „>•-• Permit No. BLDE-22-004519 Massachusetts 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:2/14/2022 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&391 NORTH MAIN ST Owner or Tenant TOWN OF YARMOUTH 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: Pump station#9 HVAC control wiring. 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 ❑ 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 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.oil Maddacettd Official Use Only _` l c� c7 Permit No. LZ2 —�5i I �_ - 2 spartm�snt o f Mire serviced - _— Occupancy and Fee Checked --C`— . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ' (leave blank) Y "-.. 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: 02/09/2022 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&391 North Main Street Owner or Tenant Town of Yarmouth Telephone No. Owner's Address Water Department, 1146 Route 28,South Yarmouth, MA 02664-4463 Is this permit in conjunction with a building permit? Yes Q 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: Pump Stations#9. 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 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. Initiatingo n Detectionand Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons 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 � Connectiony No.of Dryers Heating Appliances KW Security :* No. f Devices or Equivalent E No.of Water KM, No.of No.of Data Wiring: o Heaters Signs Ballasts No.of Devices or Equivalent Li No.H Todromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g No.of Devices or Equivalent Li u OTHER: a) Attach additional detail if desired, or as required by the Inspector of Wires. u E Estimated Value of Electrical Work: 4330.00 (When required by municipal policy.) CJ Work to Start: 02/10/2022 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 E the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The v undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. a CHECK ONE: INSURANCE ❑■ BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete crlCU FIRM NAME: J M Electrical Company Inc. • r. LIC.NO.: 3114 Al "CS Licensee: John Guarracino t4. Signature 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.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Iublic Safety"S"License: Lic.No. C73 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 0 owner's agent. Owner/Agent w Signature Telephone No. PERMIT FEE: $ 00.00