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Home My WebLink AboutBLDE-23-005957 or Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-005957 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:4/27/2023 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) 67 CHICKADEE LN 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 eck Appropriate `i Purpose of Building Utility Authorization o. 7936819 Existing Service Amps Volts Overhead 0 Undgrd No.of Meters 23 New Service Amps Volts Overhead 0 Undgrd 0 ers Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&lighting (PUMP STA.# 18) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total 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 No.of Ranges No.of Air Cond. Tonal 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:) 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $0.00 ,►,�� - 51.74 07:(S w) sec.L 4-z3 / r 1yE G.E A C D ,pOfficial Use Onl Corn o wealth of Massachusetts permit No.: .?23 - S3 C7 26 2 Z'D�R e a rent of Fire Services Occupancy and Fee Checked: Ij. e BOARRFO,E PREVENTION REGULATIONS [Rev.1/2023] N FOR PERMIT TO PERFORM ELECTRICAL WORK --Alfwork to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: YARMOUTH • Date: 3 - 24- 2o23 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number):t 0.1icleanpK 144 Unit No.: Owner or Tenant:Ti wlrl pc %OD mo Email: Owner's Address:6,14u br-p t IAA (?rt.k 2E1 cru}I,`/r)RNa.4In Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes 2 No❑Permit No.: Purpose of Building: Utility Authorization No.: 3q 3(n Pal 9 Existing Service: Amps i/fo /'2,T}Volts Overhead❑ Underground 2 No.of Meters: / New Service: 'no Amps'Au /21-;Volts Overhead❑ Underground R' No.of Meters: / • Description of Proposed Electrical Installation: 77,&734I de�J AJb2 AAA) L; L.sl3 �r SIn4:m/ 1tI l Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grad.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: 3--at-'20-22 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: Sefiala CiJ nip91i A-1®'or C-1❑LIC.No.: eI2sr Master/Systems Licensee: ?yo.J ME110 LIC.No.: 2230'4 R Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: {�n PtAr cb?c1 .1e1(IZive;ft, MN 02723 Email: ,KIP Ip Q‹Pants Cfnvidif .cowl TelephoneNo.: /-'-/ol- (off- - gL3b 1 certify,u ,� the it and penalties of perjury,that the information on this application is true and complete. • Licensee: IN�r Print Name: Raw ilk IID Cell.No..)-110i INSURAN r� CO ERAGE:Unless waived by the owner,no pdmmit for the performance of electrical work may issue unless the licensee provides pr.rT'of liability 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: 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)Owner❑ Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: