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Home My WebLink AboutBLDE-22-005026 pump sta.22 Commonwealth of Official Use Only ii'Vi Massachusetts Permit No. BLDE-22-005026 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 ❑ (Ch A r4i Box) Purpose of Building Utility Authorization No (//f}�1�j��I� Existing Service Amps Volts Overhead 0 Undgrd 0 . ?'jb cl New Service Amps Volts Overhead 0 Undgrd ❑ e A Number of Feeders and Ampacity VVV/V vv]� / O Location and Nature of Proposed Electrical Work: Install new lights.(PUMP STA#22) )[�) Completion of the following table may spV ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of t Dial Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators 9 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting — grnd. 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 Initiatina 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Enuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sivns No.of Devices or Enuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Univalent 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 ❑ (Specify:) I 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$0.00 ?z - r? E C E -. D Commonwealth GI///assac4issetto Official Use Only �.- d ' Permit No. ��—Cj�J , • .r ... . 2eparlmeni(Igoe Jeruices MAR 0`-: 5OARD OF FIRE PREVENTION REGULATIONS Occupancy. 1/07) and Fee Checked (Rev. Lro7] Cleave blank) jL a U,LDWG uhF•A i TI ATION 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 INFORM4 ThON)4-1 Date: 3/4/2022 �,, City or Town of: To the Inspector of Wires: ni 0 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.d 01 Location(Street&Number) 397 N. lnis Ra 8 Owner or Tenant ya, th wqtpr Telephone No. 508-771_7921 x Owner's Address 99 Fork TGlaryl Pr] ,. W t- Vann- it-h ma, 02673.. 72 ti Is : Is this permit in conjunction with a building permit? Yes ® No (Check Appropriate Box) Q' Purpose of Building P1xip Staticri Utility Authorization No. �I Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters $4 i New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters 4�t Number of Feeders and Ampacity to Location and Nature of Proposed Electrical Work: • b7.k.i n nT (_;4nTs AtAJ►� xaSho II i111 lieu) Completion(Pile followingiable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sa o.of Total Vat sp.(Paddle)Fans Transformers KVA CA. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swhnmi p� Above In- 'No.of Emergency Lighting °g grnd. ❑ grnd. ❑ Battery Units `i 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. Totals No.of Alerting Devices No.of Waste Disposer, Heat Pump Number Tons J KW No.of STf-Contained Totals:�"'�' 1 Detection/AlertintDevices No.of Dishwashers Space/Area HeatingKWMunicipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security stems:* No.of No.of Water s KW "No.of No.of Data Wiring:eat evicea or Equivalent Signs Ballads 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 desire4 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of penury,that the information—on this application is true and complete. FIRM NAME: SParks axPErlYr Inc- _----- LIC.N0.:4255 Al Licensee: r 1 -lo Signature ;I 1,,,, jLIL,i,t LIC.NO.: 22307 A (If applicable,enter"exempt"in the license number line.) I Bus.Tel.No.•401- 32440 Address: Fr)R-nc 5014 Pal ]7itpr P71 Alt. 1731 *Per M.G.L.c. 147,s.57-61,security w �, ro'7ork requires Department of blic 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 a t. Owner/Agent Signature Telephone No. I PERMIT FEE:$ i (�t ' j • •