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Home My WebLink AboutBLDE-22-004152 Commonwealth of Official Use Only 'IC. 7, Massachusetts Permit No. BLDE-22-004152 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: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) 89 WILLOW ST Owner or Tenant BILEZIKIAN CHARLES G TR Telephone No. Owner's Address C/O RON PFENNING MILL LN MGT INC,231 WILLOW ST,YARMOUTH PORT, MA 02675-1744 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting ,s 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 PoolAbove ❑ In- ❑ No.of Emergency Lighting grnd. rnd. 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. Tonal No.of Alerting Devices 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 ❑ 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 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: 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 Ct6 7/1r127/• 4IF T E D Conuwwwsaipli 7aseaclt6 (:;:...)'Zi-ii" Official Use Only ,, / s 'IA A '. f9 c7 n Permit No. (:�'Z 'L —'-c( v _ 2eparbnsnt o`..ti.Jirwicsa L _ r- /4' Occupancy and Fee Checked L l��l" .`_A ' I L s .RD OF FIRE PREVENTION REGULATIONS [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"3/2022 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) 89 Willow st v Owner or Tenant Harvest of Bamstable Telephone No. 508 362-4595 u Owner's Address Zi Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Commercial 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: Lighting upgrade:multiple rooms t Completion of thefoUawing my No.of be waived by the Inspector of Wires. Q.., No.of Recessed Luminaires No.of Ceit.-Sop.(Paddle)Fans Transformers TTotal KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA tet.. No.of Luminaires Swimmingp� Above ❑ In- ❑ ISO.ofEmergency Lighting and. and Battery Units �' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones n and No.of Switches No.of Gas Burners No.I � Devices l‘.• No.of Ranges No.of Air Cond. Ton No.of Alerting rtinS Devices No.of Waste Disposers Heat Number Tons KW DetNo.of on/Alon D evices No.of Dishwashers Space/Area Heating KW Local 0 C nonnnectio■icipal ❑ Other No.of Dryers Heating Appliances KWy * No.ofDevices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices ortrivalent No.Hydromassage Bathtubs No.of Motors Total HP � oNa.of Devices on�q n orEq t OTHER: Attach additional detail(f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $2,374.00 (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 ® BOND 0 OTHER 0 (Specify:) I certify,ander the pains and penalties of pedstry,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 Et tt1UhIo-Straw 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent .., , , _• I DristerT r'>Clv'. e SD