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Home My WebLink AboutBLDE-22-004158 rtitCommonwealth of Official Use Only IfE , Massachusetts Permit No. BLDE-22-004158 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:1/26/2022 • 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) 109 TOWN BROOK RD Owner or Tenant SOLIMINI VITO TR Telephone No. Owner's Address VITO SOLIMINI RLTY TRUST, 196 ROCKINGHAM RD, LONDONDERRY, NH 03053-2129 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: Upgrade lighti $ 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 41 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 Initiatinc Devices No.of Ranges No.of Air Cond. ,Total No.of Alerting Devices on No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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: EVANDRO R SOUSA Licensee: Evandro R Sousa Signature LIC.NO.: 53191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:202 N QUINSIGAMOND AVE, SHREWSBURY MA 01545 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: $80.00 rI F C E 1 VF D 14 - CominoAlv.aAh o/Maseachwelli Official Use 1L— OnlyyQQ 122 Permit No. 1 4(?i^1 B u 1I L 11 "'''�r li6A1TR. OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ` ,•------,_-__ .-- [Rev. 1ro7] (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: 01/12/2022 City or Town of: Yarmouth-Ma 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) 109 Town brook Rd Owner or Tenant Virgin Automotive Inc Telephone No. 508 790-8600 et Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Commercial Utility Authorizat on 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 Ampadty CI - Location and Nature of Proposed Electrical Work: Lighting upgrade:multiple rooms i, 1 Completion of thefollOwitable my be waived by the Inspector of Wires. Total U No.of Recessed Luminaires No.of Ceil.�p.(Paddle)Fans Tr of KVA Transformers KVA ci '� No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4- No.of Luminaires 41 Swimming P� Above ❑ In- ❑ Bat crOf y units Lighting and, and. Battery units --' No.of Receptacle Outlets No.of Oil BurnersFIRE ALARMS No.of Zones . Detection and -- No.of Switches No.of Gas Burners �o'Ifnitiadng Devices 1 ' No.of Ranges No.of Air Cond. Ton f No.oAlerting rthtg Devices No.of Waste Dbpasa^s Heat Pump Number Tons KW _ 14o.of Self-Contained Totals: 1 Detection/Alnnectio��Dn evkes No.of Dishwashers Space/Area Heating KW Local 0 Mu 0 Other Co DryersHeating AppliancesKW Security Systems:* No.of No.of Devices or Equivalent No.of Water No.of No.ofData Heaters KW Signs Ballasts No.Wiring:ff Devices or nivaient No.Hydromassage Bathtubs No.of Motors Total HP Telecomm eviceso or�q� No.of Devices Equivalent nt OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1,871.00 (When required by municipal policy.) Work to Start: 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 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 jg BOND 0 OTHER 0 (Specify:) I certify,wider the pains and penalties ofperjwy,that the Information on this application is true and complete. FIRM NAME: BAY STATE ELECTRICAL SOLUTIONS CORP LIC.NO.: 22277 Licensee: Evandro R Sousa Signature rte d 'ti'Saw a/ LIC.NO.: 53191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 833-710-1508 Address: 7203 TIMBERVIEW WAY,Marlborough ma 01752 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 Owired by law. w. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. ". • • -• I DVD1.1177 VVV. C G v.i 0