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Home My WebLink AboutBLDE-22-005016 Commonwealth of Official Use Only - L. . Massachusetts Permit No. BLDE-22-005016 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:3/10/2022 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) 67 CHICKADEE LN Owner or Tenant TOWN OF YARMOUTH Telephone No. f; Owner's Address WATER DEPT, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 -'N^ Is this permit in conjunction with a building permit? Yes 0 No 0 (Ctyicl��► pro{-^�('ct*ati ox) Purpose of Building Utility Authorization N °"�. �,'� Existing Service Amps Volts Overhead 0 Undgrd 0 Nei?' 1d s� 1�. New Service Amps Volts Overhead 0 Undgrd 0 :otr> '�'� Number of Feeders and Ampacity '� �N`, ,, E . / Location and Nature of Proposed Electrical Work: Install new lights. .: v `' IN a'' �C,i' ' Completion of the following table m aiv'' • ,;`7nt..ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of '' otal Transformers 41.45 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. To 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 0 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 Signs 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: RYAN MELLO Licensee: RYAN MELLO Signature LIC.NO.: 22307 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 Woodlawn Rd,Assonet MA 027021656 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: $0.00 4 I'rl R ® Cannwnweatft el aaaachneetta Official Use Only pnE�- "R ServicesPermit Now' -Se 'i fin ' .LJe �A :; Occupancy and Fee Checked .f �BeARD OF FIRE PREVENTION REGULATIONS _ - - ' 1/07] (leave blank) BUIpING UE E BY o __ :!_ ,t TION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/4/2022 City or Town of: fit► To the Inspector of Wires: ° By this application the undersigned -, w on to perform the electrical work described below. w' Location(Street&Number) �. r~ . o Owner or Tenant Yanrmich -cir h Telephone No. 508-771 7921 x Owner's Address 99 RI* Mg-lardR-1 , W— V ni,-„ 02673 • Is this permit in cogjanetlon wi&a x Yes ® No 11 (Check Appropriate Box) Es Purpose of BuildingUtility Authorization No. to E Existing Service Amps .. L / V Overhead 0 Undgrd 0 No.of Meters • New Service Amps / Volts Overhead 0 Uodgrd❑ No.of Meters f Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: b„�„, of Yi S4;,„ci LiyL,Ts b cXi1 Sri lu` (.:4,.TS Completk n ofthe�t�le nee'be waived by the hseeetor of Wires. or Tot No.of Recessed L No.of Cell.-Snap.(Paddle)Fans Transformers IKVVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.• of Luminaires g P� Above Itt- Plc.0t smergency ugnung wimming and. 0 . � Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No,of Switches No.of Gas Burners Na o bidedu and No.of Ranges No.of Air Cond. To l No.of Alerting Devise Heat Number Tons KWSelf-Contained Contained No.of Waste To ...�.._.. _.._.__.._._.. .__.... No.• a .i Deu9oes No.of Dishwashers Space/Area Heating KW Local❑ Mu -"' 0 other. No.of Dryers Heating Appliances KW Security No.of Water KW Igo.of No.of Data �$��or Equivalent Heaters Signs Ballasts Na of Device"or L„,,' t No.Hydromassage Bathtubs No.of Motors Total HP +T No.of Devices or , ,I 1 OTHER: Attach additional detail Vdestred or as required by the Inspector of Whams. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGEt 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 ® BOND 0 OTHER 0 (Specify:) rcecaofy,ander the pains and penalties elPesfar!',drat the Iief renaaio on this application Is trite and complete. FIRM NAME: Scarks iy, Inc. WC.NO44255 Al Licensee: Ryan NtLUO Signature J Ili Ii LIC.NO.: 22307 A (rapplicable,enter"attempt"In the llcarse number line) Bus.Tel.No.:401-635-2440 Address: A)WIZ cM4 rail P iwr, Met n777l Alt.Tel.No.•..;;4 _1 r 1 *Per M.G.L.c. 147,s.57-61,security work requires Department 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 Q owner's t. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 1