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Home My WebLink AboutBLDE-22-004139 T Commonwealth of official Use Only : � Massachusetts Permit No. BLDE-22-004139 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 or her intention to perform the electrical work described below. Location(Street&Number) ., Owner or Tenant TOWN OF " ' , -• - 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: . 0 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 TotalTransformers 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices Space/Area HeatingKW Local ❑ Municipal ❑ Other No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 22086 Licensee: John A Guarracino Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:9 DURHAM DR, LYNNFIELD MA 019401237 *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 'PERMIT FEE: $0.00 Signature Telephone No. 0/ e Official Use Only -- -" Commonwealth o f Massaclzusetis IA l *__ � Permit No, _ c� let 2epartment o f Sire Services Occupancy and Fee Checked -2 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)606 Higgins Crowell 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 Q No ❑ (Check Appropriate Box) Purpose of Building MixUsed/Commercial Utility Authorization No. Existing Service Amps / Volts Overhead ❑ 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: Yarmouth Pump Stations#1.Misc.Low Voltage HVAC Control Wiring-AP-219347 Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump Number Tons No.of Self-Contained No.of Waste Disposers Totals:I I KW Detection/Alerting Devices Other No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ HeatingAppliancesSecurity Systems:* No.of Dryers KW No.of Devices or Equivalent E No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or E uivalent o Heaters Signs Telecommunications Wiring: u No.Hydromassage Bathtubs No.of Motors Total HPNo.of Devices or Equiva en c.) t OTHER: y Attach additional detail if desired, or as required by the Inspector of Wires. Tu 4330.00 (When required bymunicipal policy.) E Estimated Value of Electrical Work: q p p y (:3j 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 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The w 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:) rip I certify,under the pains and penalties of perjury,that the information on this application is true and complete 3114 Al � FIRM NAME: J M Electrical Company Inc. LIC.NO.: LIC.NO.:22086 A � Signature Licensee: John Guarracino g Bus.Tel.No.:781-581-3328 (If applicable, enter "exempt"in the license number line.) But.Tel.No.: Address: 471 Broadway,Lynnfield,MA 01940 *Per M.G.L.c. 147,s.57-61,security work requires Department f Public Safety"S"License: Lic.No. ally al OWNER'S INSURANCE WAIVER: 1 am aware waivethe Lice see does not have the liability t is requirement. I am the(check one)t❑owner coverage❑ownerns norm agent. �, required by law. By my signature below,I hereby i Owner/Agent Telephone No.._________.- PERMIT FEE: $ 00.00 4- Signature