The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004138 Commonwealth of Official Use Only 411* Massachusetts Permit No. BLDE-22-004138 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 undersigne. n notice of his,.., her intention to perform the electrical work described below. Location(Street&Number , Owner or Tenant TOWN OF Y' i •'I H 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. ." ` t 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 Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertina 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 Sims 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $0.00 9cI ( �( b . "�`- Commonwealth o`Ittaachudettd Official Use Onl -ry�i== l a c� Permit No. •l•fu l 3 k -_i= " 2epartment of ,}ire�eruice4 i7,1111T-1. 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)451 Forest Road-West Yarmouth, MA 02673 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#10.Misc.Low Voltage HVAC Control Wring-AP-219347 Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No. Ceil.-Susp.ofTransformers 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 Equivalent E No.of Water No.of No.of KW Data Wiring: 0 Heaters Signs Ballasts No.of Devices or Equivalent To No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: u No.of Devices or Equivalent -, OTHER: v 11 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.) @1 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 E 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. CHECK ONE: INSURANCE ■❑ BOND ❑ OTHER El (Specify:) � 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 7, Licensee: John Guarracino Signature 1411,4 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.: •,-1 *Per M.G.L. c. 147, s. 57-61,security work requires Department if Public Safety"S"License: Lic.No. ECI OWNER'S INSURANCE WAIVER: I am aware that the Lie, see 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)El owner ❑owner's agent. w Owner/Agent Signature Telephone No. PERMIT FEE: $ 00.00