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Home My WebLink AboutBLDE-22-001061- central dump • •...... Commonwealth of Official Use Only Permit No. BLDE-22-001061 Massachusetts '-^ ' , 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:8/24/2021 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) 597 FOREST RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address CENTRAL DUMP, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 O Is this permit in conjunction with a building permit? Yes 0 No 0 (C • .p k1/4, :ox) Purpose of Building Utility Authorization N , 0 Existing Service Amps Volts Overhead 0 Undgrd 0 w New Service Amps Volts Overhead 0 Undgrd 0 • • . e e Z`/, Number of Feeders and Ampacity Nrif, Location and Nature of Proposed Electrical Work: Data/Comm cabling &cabinet(ANIMAL CONTROL) 0 Completion of the following table ma a ive' :)� ...ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators /�2KVA 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 3 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 RECEIVED AUG 20 2021 n a�t�' ry�q�A `� Commonwoa[th a)<rr/amachiaeoile Official Use Only BUILDING i NT �i7�7 `C.e( er ` q.,-•1 cy� c7 �i Permit No. On l�J�� \ r , — 2eparfinenl of JLr-cervices . J. Occupancy and Fee Checked �, 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 TYPE ALL INFORMA770M Date: 8/It jd/ 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) gq7 Fafar_,n i,,,z0,zwi,Id,r//7.Gine,,,,/ Owner or Tenant Ay„,„/op V/ .s 724 Telephone No. ft- Sr-,,,?"..9 Owner's Address //yL If`,..1,1'VIJ,r!y941444d%// Is this permit in conjunction with a building permit? Yes ❑ No [ (Check Appropriate Box) Purpose of Building Al/,",y4,_ eau i2tt. Utility Authorization No. Existing Service IA Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service /,y- Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ,�//j Location and Nature of Proposed El cal Work: ..„SI,.IIc (3) 1)11-,, QAdY .424.) 644(41 /5Tht/L S!w-YiI yvsp L'!tj se-i Completion of the following.table may be waived by the Inspector of Wires. lb No.of Recessed Luminaires No.of Cell.-Snsp.(Paddle)Fans No.or total Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA A: No.of Luminaires SwimmingPool Above 0In- 0No.of Emergency Lighting ¢rod. 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 c Initiating Devices i i' No.of Ranges No.of Air Cond. •�non l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained - Totals: ....................._-........'...... Detection/Alerthx(Devices No.of Dishwashers Space/Area Heating KW Local CoMunne:pa ction Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent - No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 3 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: (/,0-, (When required by municipal policy.) Work to Start: (�/,s 12( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 covge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE r BOND ❑ OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: CZCt7l,n V/7r1M1(I LIC.NO.: /r/p Licensee: 4>AC72 ie..ez 7! Signature l LIC.NO.: 3/q (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. I` Address: Alt.Tel.No.: Per M.G.L.c.147,s.57-61,security work requires Department of 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$