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Home My WebLink AboutBLDE-22-005027 pump sta. 21 o• Commonwealth of Official Use Only Ems, Massachusetts Permit No. BLDE-22-005027 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:3/10/2022 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) 397 NORTH DENNIS RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address WATER DEPT, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 ( e iate Box) Purpose of Building Utility Authorizatio ' Existing Service Amps Volts Overhead 0 Undgrd ► it New Service Amps Volts Overhead 0 Undgrd ❑ %�.J Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New panel&lights.(PUMP STA#21) Completion of the following table may s • : Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers 5 Q KVA No.of Luminaire Outlets No.of Hot Tubs Generators / KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Ligh7 lr(e: 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 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 ❑ 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 0 BOND 0 OTHER 0 (Specify:) 1 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 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 R E C.; -`' E D Commonmeaa a`rr/addacnudeiid Official Use Only ------777 t ,i p c�- Permit No. �ZJ(�-7 MAR ` 2epa,lmsai a ire eruicod BpARD OF FIRE PREVENTION REGULATIONS [ReeOv.1//071 (leavecy Fee Checked BUILQING DEPR rrr,,. ) blank) BY - • ' - ICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0 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: 3/4/2022 p„ City or Town of: Yarrnaxth To the Inspector of Wires: mBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. E Location(Street&Number) 397 N. Danis Fical u Owner or Tenant yah fit-,. Tint- Telephone No. 508-'771_7921 la Owner's Address 99 Rr*Talarri rst Yoror„dh Is.Y coIs this permit in conjunction with a building permit? Yes El No (Check Appropriate Box) a' Purpose of Building Rrrp Station ma, Utility Authorization Na. to Existing Service Amps /__Volts Overhead DI Undgrd❑ No.of Meters 14 I New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters (al Number of Feeders and Ampacity a Location and Nature of Proposed Electrical Work: mi Sl, 1;NI blew PAd,.it (+tiD GikTS Completion of the following table may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.or Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ri In- No.of r mergency Lighting gird gird. Battery Units No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection sod Inhyating Devices - No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self Contained Totals:I..._............................,....,.......)._. I Detecfion/Alertin Devices No.of Dishwashers Space/Area HeatingKWMunicipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW ecu ty Systems:* No.of No.of Water Ra off No.of Data Wir►Derices or Equivalent 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 ifdesired,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 ® BOND 0 OTHER 0 (Specify:) 1 eolith',under the pains and penalties of parfury,that the information on this application is true and complete. FIRM NAME: marks CbTfsry, Inc. P✓J LIC.NO44255 Al Licensee: Ryan N tilc) Signature �ltPl, LIC.NO.: 22307 A (If applicable,enter"exempt"In the license number line.) Address: m 14-sc M PAi i uivrsr. rep, 1)7771 ` B lt.Tel.No:401 35 2440 'Per M.G.L.c.147,s.57-61,security work requires Department ofPublic Safety"S"License: Att 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 nt. Owner/Agentj�e Signature Telephone No. 1 PERMIT FEE:$ I lr�?/} __ $,. d H i t y P 441.