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Home My WebLink AboutBLDE-22-001060 - sanitation Commonwealth of Official Use Only iill ' Massachusetts Permit No. BLDE 22 001060 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 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 ..a •ters New Service Amps Volts Overhead 0 Undgrd 0 ok°11-, Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: Data/Comm Cabling (SANITATION BUILDING) O Completion ofthe following table m be y a I /l yF? ,/Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddlc)Fans No.of v 0 ��///T,r Transformers �j A No.of Luminaire Outlets No.of Hot Tubs Generators ✓ No.of Luminaires Swimming Pool Ab ❑ In-r ❑ No.of Emergency igirn. gino e „ 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 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/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: 9 Heaters Sins 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 ❑ (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. 1 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$0.00 ', E-t, E__1VED AUG O-14t 21 cortrnontvsa[th aa�� Mamachudatis Official Use Only ,. __ BUILDING '.+i'""�'�E N T cc�'� Permit No. 022 NI,,./. r �lJs�var�ms o�.}irs Serviced By _, - -' ' - —_ Occupancy and Fee Checked ,'''`''.rJ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ()cave 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 INFORMATION) Date: 1J2/ 2J City or Town of: To the Ins Icto Wires: YARMOUTH p of By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) .J17 . -, CX� ,,, r,/yi isia✓T"/ Owner or Tenant 72u ry Ur p p, rk1 j Telephone No. 5-4S- 3?p d)3/ I Owner's Address 1'iYL A r ?P f i4/-r y imo✓i-// Is this permit in conjunction with a building permit? Yes E No Er (Check Appropriate Box) Purpose of Building BOA) /1f;m,z;4 ,-Thyv n.clitzr4) Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd El No. of Meters New Service Amps / Volts Overhead El ❑ No. of Meters Number of Feeders and Ampacity ti i Location and r 1 Nature of Proposed Electrical Work: 4 f►,_ii`1 3) 6/7% 40(a— rc �11 64.244. V) Completion of the followingtable meg be waived by the In vector of Wires. No. of Lb No. of Recessed Luminaires No.of Ceil.-Susp. (Paddle) Fans Transformers KVA Total n1 No. of Luminaire Outlets No. of Hot Tubs Generators KVA tt;' No. of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting grnd. g`rnd. Battery Units :::} No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones of Dection and- ' r No. of Switches No.of Gas Burners 4No. Initiatin Devices Tota III No. of Ranges No.of Air Cond. Tons ,No. of Alerting Devices No. of Waste Disposers Heat Pump 1 tuber Tons KW No. of Self-Contained Totals: ..... Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connectionyy No.of Dryers Heating Appliances KW Security mf Devices or Equivalent No. of Water No.of No.of a Wirin : Heaters ' Signs Ballasts DatNo.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP 'telecommunications Wiring: No.of Devices or Equivalent OTHER: L� do Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: / J (When required by municipal policy.) Work to Start: gli.5-Z)/ Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CEGE: 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 covers a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [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: F1'Th72o /1/ fi is LIC. NO.: . 04 Licensee: LJi)t i7 C Ai,c?At Signature G�� V74LIC. NO.:_ .t�/>' (If applicable, enter "exempt"in the license number line.) Bus. Tel.No.; Address: Tel. No *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt.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. J PERMIT FEE: $ I ON. 1 4S4