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Home My WebLink AboutBLDE-22-001967 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001967 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:10/6/2021 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 ❑ 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 stand by generator. 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grn . grad. 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. 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 ❑ 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 Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 Barros Licensee: John Barros Signature LIC.NO.: 12168 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 164 EAST ST, FOXBORO MA 020352253 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:$0.00 ôac 1 . • `• 4 'V A Commonweak al Massackamits Official use only tif . a . 2.pa tnr at% .s, Permit No. f� - Occupancy and Fee Checked I _ BOARD OF FIRE PREVENTION REGULATIONS [Rev- 1/071 (leave blank) /' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK r All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 " ` to — 2 City or Town of: f a c w••e v N►, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. iL Location(Street&Number) .\O S I-.. r.a erN A.v t Owner or Tenant tN e.+.,%s - ".1 ..s w.a 4t• ••• Nt %,ln S c;'+•%\Telephone No. So%- 31$--7 4 3 b 0 Owner's Address S a.v..e N Is this permit in conjunction with a building permit? Yes 0 No [! (Check Appropriate Box) o Purpose of Building "S''se-, S cam'°\ Utility Authorization No. N A r/ ✓ Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters d New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Ice Number of Feeders and Ampacity Ii Location and Nature of Proposed Electrical Work: cR e F+\••c-e '4%--M e. s ...,. . b-..\ G c-.%cc.*/C•c• e V) Completion of the followinktable may be waived by the Inspector of Wires. Total LT No.of Recessed Luminaires No.of Cell. (Paddle)Fans TransformersNo.ofKVA Ce �- KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- 'Ivo.or Emergency Lighting No.of LuminairesSig Pool scrod• ❑ Knit ❑ Battery Units Zi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Z` ` Initiating Devices Total 11.! No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tout _KW_... Det ctlon/Self-ContainedDevka No.of Dishwashers Space/Area Heating KW Local 0 Connectioa 0 Other No.of Dryers Heating Appliances KW Security No.ofDevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sims Ballasts No.of Devices or ' , 1 ,t No.Hydromassage Bathtubs No.of Motors Total HP No.ofof De or or Eq` t OTHER: G ftr e.c 1-\ • c . e TN G.a c,.........A Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: S Z NC. (When required by municipal policy.) Work to Start: 9-%'1- IA 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BBOND 0 OTHER 0 (Specify:) I certify,under die pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: F • M • G e.- e e s..4V o e LIC.NO.: Licensee: •So fie.•.% •(S o...c.c a S Signature /' LIC.NO.: A,‘s.‘to% . (If applieabk,enter"exempt"in the license line.) Bus.Tel.No.: SS%-t S-1-'7 2l l .a t.Q Address: 2 S SNo.A a` i. . S 4.1 O. .cc. Q c.h..M•A Alt.TeL No.: •s'e-4G 2-3 S %q *Per M.G.L.c. 147,s.57-61,security 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ p o =o -� .A.:\.1.:..3 ?ne �qt.e. E'�� .sA