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Home My WebLink AboutBLDE-23-006161 pump 21 or Commonwealth of Official Use Only •� • „ 'ut Massachusetts Permit No. BLDE-23-006161 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:5/7/2023 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) 397 NORTH DENNIS RD Owner or Tenant TOWN OF YARMOUTH 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 200 Amps Volts Overhead 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&Ii .(P MP STATION#21) r.f � ,'. ;/le may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans r r r ir.P ^' o of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters Siens 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 ❑ OTHER 0 (Specify:) I7If' C11(1 — [ , Z3 ( 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. I PERMIT FEE:$0.00 Commonwealth of Massachusetts Official use only it=*-` �/, Permit No.: �Z3 CO C(oC _';_ Department of Fire Services Occupancy and Fee Checked: _'_►_{=, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/20231 'vl''`-`°' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance_wit_h the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of . YARMOUTH - Date: To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 391 A,6,,1.i, be)I PI Owner or Tenant: '7pAw� or ' 2n4m1� Email: Unit No.: Owner's Address:W46 bar 11 M(, OWL 2 Q &Jut, Yfin.maRet t MR Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes[f No 0 Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: la> Amps 'I& /271-Volts Overhead❑ Underground . ' Ne�V Service: � No.of Meters: i 2r�,j Amps t[fij / 2#i-Volts Overhead❑ Underground No.of Meters: / . Description of Proposed Electrical Installation: tl p P ' xlC.l A�tt�.5 Atop G�1rrs tm.� .S�{�sy �2l Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: No.Luminaires: No.of Recessed Luminaires: No.Wind Generator KW Rating: Type:. KW Rating: No.Appliances: KW: No.Water Heaters: KW: . No.Transformers: Total Wind T tta KVA: Space Heating KW: Heating Equipment KW: No:Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-TubFire Alarm System 0 No.of Devices: 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System y 0 No.of Devices: No.Air Conditioners: • Total Tons: Telecom System❑ No.of Outlets: No.Energy'Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount OTHER: ❑ Level 1 0 Level 2 ElLevel 3 ElRating: Attach additional detail f desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Date Work to Start: (When required by municipal policy) • 5 E3- 1.3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: Spas _"irwy rive, A-1 Er or C-1 0 LIC.No.: LIZs,- Master/Systems Licensee: ?ym.( moo 223417 A LIC.No.: Journeyman Licensee: • LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: \.p . t S034 ItilPews (MP r2:42I Email:cpattll6 itii. ('Ciet„ cam 1 P � � Telephone No.: !-lJ6 t. &l f'' Z ct,0 I cert ,un''the/`i i s and penalties of perjury,that th ' or ation on this application is true and complete. Licensee: ,,,E/, , , ; Print Name: INSURAN C a Cell.No.: I-.y0/� (,l//-, z4' ERAGE: Unless waived by the owner,no ermit for the performance of electrical work may issue unless the licensee . provides prod of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force an 1 has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND❑ OTHER❑ Specify: 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 0 Owner/Agent: Tel.No.: Signature: • Email.: