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Home My WebLink AboutBLDE-21-004731 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-004731 �� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:2/22/2021 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) 64 KINGS CIRCUIT Owner or Tenant Kings Way Trust Telephone No. Owner's Address �/��7 '/ Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Apr )'mff' xx m f,) .. Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 r OD* Number of Feeders and Ampacity // ,� Location and Nature of Proposed Electrical Work: Replacement transformer.(MAINT.GARAGE AREA.) !/J, Completion of the following table may be waived by s a of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA 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 Initiating 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:. No.of Devices or Equivalent No.of Water KW Na.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 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: THIELSCH ENGINEERING INC Licensee: RALPH A CARROCCIO Signature LIC.NO.: 16657 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:1341 ELMWOOD AVE,CRANSTON RI 02910 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 nor have the liability insurance coverage normally required by law.But 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:S200.00 Commonwealth o/ MaLLacIu3ette Official Use Only _ cc�� Permit No. �:LA 7-aj 2 epartment o f,7ire Serviced _t,_ • Occupancy and Fee Checked .* BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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 INFORMATION) Date: 2/9/2021 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) 64 Kings Circuit Owner or Tenant Kings Way Trust Contact: Meghan Leof Telephone No. 508-362-3535 Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No X❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace 1 old transformer with 1 new energy efficient transformer RIS81200034 pdavey@riseengineering.com in maint. garage & int. & ext. fixtures & relamp reballast in corn areas. Completion of the following table may be waived by the Inspector of Wires. of No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No.Trans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA 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 Initiating Devices Ranges No. of Air Cond. Total No. of Ran g Tons No. of Alerting Devices 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 Ill Connection Connection ❑ Other SecuritySystems:* No. of Dryers Heating Appliances KW No. f Devices or Equivalent No. of Water Kam, 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: $26,000.00 (When required by municipal policy.) Work to Start: 2/2021 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 ❑ OTHER ❑ (Specify: S r eather & Shepley Ins. 1/22 I certify, under the pains and penalties of perjury, that the;;orotsJPhcation is true and complete. FIRM NAME: Thielsch Engineering LIC. NO.: Licensee: Ralph Carroccio Signa 'LIC. NO.: 16657A (If applicable, enter "exempt" in the license number line.) Address: 1341 tlmwood Ave., Cranston, RI U291U Bus. Tel. No.: 401-784-3700 Tel*Per M.G.L. c. 147, s. 57-61, security work requires Dep , nt of Public Safety "S" License: Alt.Lic..No 800-422-5365 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. 1 PERMIT FEE: $ 200.00 I