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Home My WebLink AboutBLDE-23-006158 Commonwealth of Official Use Only CCIII"\‘ttMassachusetts Permit No. BLDE-23-006158 a'-" 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) 107 NORTH DENNIS RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address WATER DEPT, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 rr, ',•..;f Is this permit in conjunction with a building permit? Yes 0 No ElAppropriate V Purpose of Building Utility Authorizatio", 7936856 Existing Service Amps Volts Overhead 0 Undgrd I eta .,. , New Service 200 Amps Volts Overhead 0 Und rd No.of Meters It;/ 441 Number of Feeders and Ampacity x ' TM : Location and Nature of Proposed Electrical Work: Upgrade service&lig " PUMP STATION#15) 4 _'`.'.le 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- 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 Initiative 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 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 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 ❑ 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 u_O IIyy t i� *v = ,� Permit No.: �j23 __ ;_ Department of Fire Services Occupancy and Fee Checked: `- =14, I BOARD OF FIRE PREVENTION REGULATIONS J ty'''``—s1' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in_accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • - Date: S'--y-2613 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): /p} AAA A RI) Unit No.: Owner or Tenant: "-fit OF yaam n Email: Owner's Address:!ell t 7- IIy� ,,1� 7 �,� yn;,� Phone No.: ----r ► �--' kNllait.Lt1R Is this permit in conjunction with a building permit?(Check appropriate box)Yes El No 0 Permit No.: Purpose of Building: Utility Authorization No.: -493(o p5-b Existing Service: lao Amps LILO / 27/-Volts Overhead❑ Underground 2' No.of Meters: / . ' NeW Service: 3.00 Amps (Igo / an.Volts Overhead❑ Underground 1 ' No.of Meters: / Description of Proposed Electrical Installation: ,j, /a I( jciall 74,461..4 Amdb (,i s gay &lb,);oi.s a 1,5 Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:. No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No:Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 1 0 Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail f desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) • Date Work to Start: . -9-23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: se,.,5 ('.,,,.? � A-I [j or C-1 ❑LIC.No.: y2S'S- Master/Systems Licensee: Tafpo I.kc to LIC.No.: Z I 3e>4 A Journeyman Licensee: • LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: .O Rot 3c,3 N 14-9 11 _'?;tale. I MA O232 3 Email.< I plc @ i9 KbC,�^qyy 2- c.. c6>ti+ '"'f` N Telephone No.: /-S(j/- G 3 S'- 211410 I cert ,u the i s and penalties of perjury,that the information on this application is true and complete. Licensee: Print Name: / l 4J_ (ow-slily INSURAN COVERAGE: Unless waived by the owner,no per for performance of electrical work may No.: provides pr of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that ess the licensee such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE❑ 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❑ Owner/Agent: Tel.No.: Signature: Email.: