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Home My WebLink AboutBLDE-19-002924 Commonwealth of ofecialuseonly E. , Massachusetts Permit No. BLDE-19-002924 Ilt -� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:11/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomL4electncal w. Uor�`�f�cnbcdd bolo Location(Street&Number) 249 STATION AVE A (` l ---( 1 Owner or Tenant MALONEY SYLVESTER J TR Telephone No. Owner's Address STATION AVE REALTY TRUST,249 STATION AVE,SOUTH YARMOUTH, MA 02664-1863 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 ❑ 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: Replacement panel. 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 0 In- 0 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 ❑ 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 Data Wiring: Heaters Stens 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SHAWN A SOUZA Licensee: Shawn A Souza Signature LIC.NO.: 39768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 LAKE DR, PLYMOUTH MA 023605648 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 Signature Telephone No. PERMIT FEE: $80.00 Cszt} 'k(24he (slip M&/9 Gacvnrr> t i ti� OffC8IQS— ignazirft \..) .anunonwea s 0/Masses it0 \V\ 71 :ICI eparLnsnt ofline Service! Permit No. BOARD OF FIRE PREVElt NTION REGULATIONS Occupancy and Fee Checked �V) -Rev 1/07J . (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT ININKORTYPE ALL INFORMATION Date: / /3//p City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives notice of his or her intention to perform the electrical work d-.cubed below. / Location(Street&Number) y � 4 R- . V . 4&i. t�J Ilk Owner•orTenant (` q„5S tVe �v,V.�ck- Telephone No. Owner's Address �_ ,ip Is this permit in conjunction with a budding p Yes No Check cab; tom' s � ( Appropriate Boz) Purpose of Building t�N4-c Si �t C'� Utility Authorization No. Existing Services Amps / /at(flVolts Overhead Undgrd No.of Meters / m III New Service _ Amps I Volts Overhead 0 Und N V. ,t gid 0 No.of Meters U� Number of Feeders and Ampacity 6 r iM S �''� Location and Niture of Proposed Electrical Work: oL.r!/�G J� t �e oke P. e I Z - j Completion ojthe joIIowinp table may be waived by the Inspector of iPaes. '. No.of Recessed Luminaires No.of Cell-Stcsp.(Paddle)Fam No.of Transformers Total — No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimmfng Pool Above ln- No.t Emergency Laghung ernd. Incl. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Uetecuon and Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained —1 Totals: Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW Loth 0 Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts Na.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail f derire4 or as required by the Inspector of Wires. Estimated Value of Iect}cal orld�// 2Cc:r. O Q (When required by municipal policy.) Work to Start:// / c// Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability in including"completed operation"coverage or its substantial equivalent The undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certift, under the plains and penalties ofperjary,that the information on this application is true and complete. FIRM NAME: ttva.WtU Z S a2tC,�ct ` LW.NO.: Licensee: c wti Shur C._ Sigvatu / A 7 (Ifapplicabl;epter "exempt"in h license rrvmkgr line) u� LTC.No. Address: ,�/ 61-011(.4' ( i ye /"I ymesu fin 0-,1-34-13 Bus.Tel. - �� •Per M.G.L. e. 147,s.57-61,security work j rc fres Department of Public SafetyAlt.Tel.No.: eP "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 agent, c Owner/Agent Signature Telephone No. I PERMIT FEE: $ ,