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Home My WebLink AboutBLDE-22-00040 . Commonwealth of Official Use only Permit No. BLDE-22-000040'; Massachusetts 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:7/2/2021 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) 276 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 ❑ (Check Appropriate Box) Purpose of Building School Utility Authorization No. 2412517 Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 4000 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Electrical permit based on provided schedule of fees. Completion of the following table may he 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. Total No.of Alerting Devices Tons if 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 Data Wiring: 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 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: Joseph S Annese Licensee: Joseph S Annese Signature LIC.NO.: 12665 _ (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:280 LIBBEY INDUSTRIAL PK,WEYMOUTH MA 021893102 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 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: $21,660.00 Commonwealth o/Maeeachuasfle Official Use Only l^^ � '� 2cc�� Permit No. '7 2 — CO l v sparJimsni ofcc77 irs Servics6 ).... Occupancy and Fee Checked , � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (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: 6// ( ( City or Town of: -fa,/T7f 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) 1 7( J T47-10 a f, . ol Owner or Tenant D.eiv,'e's yitit..K_ -7r- /LEz,•'o,✓A� e- de..c,, l s rrc.t c. Telephone No. Cr-3U-76:c.e) • Owner's Address 494 ,Sr2-77., //ti E ✓ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i1 I DD t L j-t-iv,J,- Utility Authorization No. 0 /.2-5 %7 `' Existing Service Amps / Volts Overhead E Undgrcl No.of Meters N 1 New Service Amps 277/ '4Irc Volts Overhead E Undgrd ❑ No.of Meters f S Number of Feeders and Ampacity 2,_ - 1-f .. .(I Mk) S Location and Nature of Proposed Electrical Work: 76, _ST�T-/put1 A(/. -- �/ SG V) Completion of the followink table may be waived by the Inspector of Wires. kn lb No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA r1 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units V . No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones F In No.of Switches No.of Gas Burners No. Dete and Initiatinnggon Devices 114 No.of Ran es No.of Air Cond. Total No. of Alerting Devices g 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❑ Connection Municipal ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.HydremassageBathtubs No.of Motors Total HP Telecommunicaions wiring No.of Devicet s 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: 4 7j„,_i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVAGE: 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER El (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:6/AiA.14-,s-E 4,ECI7ZJ cow - iZ-"i<. LIC.NO.: Licensee: jnL$Gprt 1TNNi3s t Signature 4-'t/Li� LIC.NO.:/'.:jL.LS---- (If applicable,enter"exempt"in the license number line.) v Bus.Tel.No.;7Y/-3S 7- 14.2 Address: -2S L// 36I /A;Jua rxt n L !?a.RI c,/Ay_ C,J;V¢f".'/"-r Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ t 4O :.i- V V