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Home My WebLink AboutBLDE-22-000097 or ttv .1 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000097 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:7/7/2021 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) 210 STATION AVE Owner or Tenant DENNIS YARMTH REGIONAL SCHOOL Telephone No. Owner's Address STATION AVENUE, SOUTH YARMOUTH, MA 02664 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: Replace 3 boilers. 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners 3 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. Total No.of Alerting Devices Tons 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 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 Data Wiring: Heaters Signs Ballasts 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: Brian R Merrey Licensee: Brian R Merrey Signature LIC.NO.: 34592 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 Meadow Dr, Raynham MA 027675153 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 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 OZ,D 9/2F(21 R LE-C E _ a ' _ D I Commonwealth.o`Masoachu 5 Official Use Only c�r� Permit No. Z::°°97 il �� bepartmant o`3ire Serviced JUL 0 l t Occupancy and Fee d =OARD OF FIRE PREVENTION REGULATIONS Rev. 1/07^ �:,,�r�. � j (leave b BUILDING DEPAR MENT By. ""' ATION 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: 7 6, /2,2_ / City or Town of: ti-14R- 0 t,1,, H-- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform th el ctrica work described below. Location(Street&Number) a i( ` "c , ) ! ii _31 ,L \ y Owner or Tenant , 1 rr2,` h=; , , G' :n.- ) / Telephone No. Il _ I• L, I Owner's Address afilt., ' , aDSI v L4,5 /,r✓ Is this permit in conjunction with a b ilding permit? Yes ❑ No ' (Check Appropriate Box) Purpose of Building `S C_\\ 00\ 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 Electr'cal Work: -, l A Lu , '',e _`3 c' L) C1111—`alb►\ � rne ? i ^ - ci �) ; SP 6S0, ' r' C`.% . � c. .. ibi Ey,c '4i - i,`7c it 1-' Completion of the followin&table may be waived by thespector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof T 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 Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total 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❑ Municipal Di Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent i No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wring: 9 No.of Devices or Equivalent OTHER: �/ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elect `cal Work: a Ot`C' (When required by municipal policy.) Work to Start: -) i �) 1, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO'TERAGE: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: > \!�✓l CNsh'e�r Signature I` /�/��'�1 LIC.NO. ,+: �) . (If applicable,enter'e empt" the icense um er l e.) r / B . us.Tel.No.: Address: `33 r'ov.Cic i 1 i J �� 1 A� '�z.'� t;l a C' 5`�..�� Alt.Tel.No.: ` 1 c: *Per M.G.L.c. 147,s.57-61,sdcurity work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $