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Home My WebLink AboutBLDE-22-004760 Commonwealth of Official Use only 41,4640, Massachusetts Permit No. BLDE-22-004760 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:2/28/2022 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) 296 STATION AVE Owner or Tenant DENNIS-YARMOUTH REG SCHOOL Telephone No. Owner's Address 210 STATION AVE, SOUTH YARMOUTH, MA 02664-3000 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Low voltage HVAC control wiring. (286 STATION AVENUE) 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 rnd. 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 3f 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters ,Siens ,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: JOHN A GUARRACINO Licensee: John A Guarracino Signature LIC.NO.: 22086 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 DURHAM DR, LYNNFIELD MA 019401237 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 'ture Telephone No. PERMIT FEE: $500.00 (.ommonwea/h o/Ma64achu4ettd Official Use Only 1—= c�r� Permit No. "rj1- .2)epartment o/]ire.ervices Occu anc and Fee Checked -�`— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]y :. , (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: 02/16/2022 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)296 Station Ave Owner or Tenant Dennis Yarmouth Intermediate Middle School Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑■ No ❑ (Check Appropriate Box) Purpose of Building Commercial/Institutional 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: DY-Intermediate Middle School,South Yarmouth-Misc.Low Voltage HVAC Control Wiring-JG-219561 Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf 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. Batter Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. 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 L. ConneMunicip ct ia on l L. Other No.of Dryers Heating Appliances KW ecurrty ystems: r3 No.of Devices or Equivalent E No.of Water Kam, No.of No.of Data Wiring: p Heaters Signs Ballasts No.of Devices or Equivalent u No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicat tions Wiring: No.of Devicaes or Equivalent OTHER: N Attach additional detail if desired, or as required by the Inspector of Wires. E Estimated Value of Electrical Work: 800,000.00 (When required by municipal policy.) @ I Work to Start: 02/22/2022 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 E the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The a) undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. a. CHECK ONE: INSURANCE ❑■ BOND ❑ OTHER ❑ (Specify:) rn I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: J M Electrical Company Inc. LIC. NO.: 3114 Al 'ZS Licensee: John Guarracino Signature ' ) ,,,,,✓`-A\ ' LIC. NO.:22086 A (If applicable,enter "exempt"in the license number line.) .✓� - Bus.Tel.No.:781-581-3328 Address: 471 Broadway,Lynnfield,MA 01940 —� Alt.Tel.No.: ,^^, *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public-Safety"S"License: Lic.No. CCi OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Erequired by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent w Signature Telephone No. PERMIT FEE: $ 80.00 amoo/