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Home My WebLink AboutBLDE-23-16042 6/12/23,6:39 AM 1\\"v about:blank 1, Commonwealth of Massachusetts z;o? 46.',r * Town of Yarmouth OA. : C'' Arf Y b ELECTRICAL. PERMIT �� " �. Job Address: 296 STATION AVE Unit: Owner Name: DENNIS YARMOUTH REG SCHOOL Owner's Address: 296 STATION AVE Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-16042 Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters: New Service Amps/Volts Overhead 0 Underground 0 No. of Meters: Description of Proposed Electrical Installation: Inspections (Up to 3 Inspections)for Sports field lighting &toilet. No.of Receptacle 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: ln-Grnd.❑ Above-Grnd.❑ Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ 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❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: June 12, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: MICHAEL J REYNOLDS License Number: 20153 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: East Weymouth, MA, 021893102 East Weymouth MA 021893102 Fee Paid: $240.00 Email: bjacobus@anneseelectric.com Business Telephone: 781-337-6462 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. INSURANCE: .1 (c NCJvl 1-r cs (pps c,s,./) cAtiiwen) d✓lL-A i u/31( 7. Ct 4U.P.-CaR-ervNbGt/- t4Lc (z ri,o,Ap, a si. k 4 %4 7,s. lok........, 1/1 about:blank "N Loinmonwealik of f/'/assactiusetts Official Use Only 1-21- ff, 2`3 —1 6 —.��i—: c� Permit No. r ) �7/ • __1'= ..eJe ariment o/ ire�ervices _ti_ z Occupancy and Fee Checked > ji - s BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/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 7YP ALL INFORMATION) Date: -/ /.2 3 City or Town of: �` ><jr2 t'v✓j {- To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7Cv -S'T (/ " 4 S7c Owner or Tenant °~, g_F"4 r U/t//7� St-,-/vr�(_.----7)/S(—IL(e-i_ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd 1 I No.of Meters New Service Amps / Volts Overhead n Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: s,Pv fL P-,s F'Le Lii .4,/ ..t41--,...‘,/ 44. 7-6)/ &r- ,phi c-.�/ r-j__._. /f'T 7 7 ‘'1 i I>c s:✓ 1,..&;e 1--- Completion of the followinvable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting rnd. grad. 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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 bymunicipal policy.) Work to Start: 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND [il' OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME ,: sy/t/'Ercc;:" L G/'71 i C LIC.NO.: Licensee:/—,:l C./ / r- _._,i2C�,/„c c Signature - LIC.NO.: (Ifapplicable,enter`exempt"in the license number line.) 1 p Bus.Tel.No.: Address: -'- L I-t t d& f4 W�,-:ii.n/. 7' 4-'`/N7'' �4- 11 L ret Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Departmebt of Publicsafety"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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ s wrrnrnanweaurs or •ttai5actutzeus '." ...al vSCVRIy e \ Z- / i »;-: c7 Permit No. 3 1 i!f - epartmenl of..tire Services Occupancy and Fee Checked ., „, BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPALL INFORMATION) Date: -- City or Town of: - 3 4,714 , 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 1 -; r�-�"7 :s9. 04 „ , . t ...A_ ( �. .� t�_� Telephone No. • Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No.❑ (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❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '- ' �a-- _, ,tee �- �ems 4-T,, - Co .leflon o the oiowin table m.. be waived b$the Inspector of Wires. Na.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans `r o otal Transformers T VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In_ _ No.of Emergency Ltob rug Rrnd. d. 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 an t Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump SIM ons Mill `o.o el - ontarn Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unicrpal 0Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or a uivalent o.o 'later - KW No.of No.of Data Wiring: Heaters Ballasts Suns No.of Devices or t(,Ivalent No.Hydromassage Bathtubs No.of Motors Total HP elecommunications R inagg: No.of Devices or N trivalent 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: 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND I OTHER ❑ (Specify:) I cert ,under the pains and penalties ojperjury,that the Information on this application is true and complete. FIRM NAME: 'y VT "c..` �" `- orz t -- LIC.NO.: Licensee:I ?it l:/ �,e___,' 'n, a ._ . g- Signature .-'—"3 --., m LIC.NO.: (Ifapplicabl enter"exempt"in the license number line.) Address: ..tl /8367 :s. cis,,,,cid c- — Alt.Tel No.: *Per M.G.L.c. 147,s.57-61,security work requires Departme t of Public afety"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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: $