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Home My WebLink AboutBLDE-23-005959 r Commonwealth of Official Use Only E" Massachusetts Permit No. BLDE-23-005959 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: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. ,e/N...... Location(Street&Number) 469 HIGGINS CROWELL RD i' ''• ��.0 Owner or Tenant TOWN OF YARMOUTH Telephone No.. 2.e Owner's Address WATER DEPT/WELLFIELD PURPOSES, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 , ^, Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate.Box) ,?' '.' Purpose of Building Utility Authorization No. 7936429 Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters, New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters ,,‘N, Number of Feeders and Ampacity , ` Location and Nature of Proposed Electrical Work: Upgrade service&lights(PUMP STA.# ) `�J 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 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: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $0.00 �vcp --- Co m nwealth of Massachusetts Official Use Oay s„ ?6 2023 rtment of Fire Services Occupancy and Fee Checked: Ij 5" BOAR, _ FI E PREVENTION REGULATIONS [Rev.I/2023] "c'oftA ON FOR PERMIT TO PERFORM ELECTRICAL WORK v work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: YARMOUTH Date: 3-a4.-anal 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/69 c(s nova/ 1Lrrn Unit No.: Owner or Tenant:'al,/ of '/gn.4{In Email: Owner's Address:604v,hew t 11/, ligc.2E.cups 1612av 44,A4 r Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes[)'No❑Permit No.:_ Purpose of Building: Utility Authorization No.:' 93fpt-121 Existing Service: 2p42, Amps t/Y,', /277.Volts Overhead❑ Underground No.of Meters: New Service: 76o Amps'fib /2q} Volts Overhead❑ Underground I No.of Meters: . Description of Proposed Electrical Installation: J)jfyw// ,I/Eid {�a/t2.5 *4 3 Q,.+♦p 9ellay ft -V 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: Na.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Gmd.❑ Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ 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❑ Ground-Mount❑ Level I❑ Level 2❑ Level 3❑ 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: a-2t,- -2oZ.3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: cirozIGS CraaarAMy Tina A-1[nor C-1❑LIC.No.: y13c Master/Systems Licensee: 2 11,a Mt110 LIC.No.: Z2'bo A Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: o I3oy s7,3N 1 qI( Ciuelit Alp. p?723 Email: .WEIIo Q p S . Gem Telephone No.: 1-q/OI' (/3S- 2 1/0 I certify,u d the aIis and penalties of perjury,that the information on this application is true and complete. Licensee: •V Print Name: Vyed MEIIo Cell.No.:i-/ct/ b4l^S 1yy INSURAN C VERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides pr 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 V 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.: