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Home My WebLink AboutBLDE-22-003366 Commonwealth of Official Use Only ' Massachusetts Permit No. BLDE-22-003366 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:12/14/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice d his or her intention to perform the electrical work described below. Location(Street&Number) 714 ROUTE 6A Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST, HARWICHPORT, MA 02646-1517 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 lightin•' 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 67 Swimming Pool Above ❑ 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 Initiatine Devices No.of Ranges No.of Air Cond. Total 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 SOUSA Licensee: EVANDRO SOUSA Signature LIC.NO.: 22277 (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 SignatureC ``�� Telephone No. PERMIT FEE: $80.00 it )A t��46 r ''' co �o j�meachu o4to Official Use Only T�^ "EZ2 334 6 i . Permit No 2s/par1ineat opi,.JiwiCed r i - Uii�V Uth'F.i.,r Occupancy and Fee Checked t;' BOARD-OF FIRE PREVENTION REGULATIONS (leave blank) [Rev. 1 f07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK E All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 3 (PLEASE PRINT IN INK OR TKIT ALL INFORMATION) Date: U City or Town of: (kfZ Moo - NIA 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 M A 1 N 91 Owner or Tenant LK P39.t) E pLl Telephone No. 50% 362 16 O() J ‘4..), Owner's Address Q Is thispermit in conjunction with a YesNo � j building permit? 0 g (Check Appropriate Box) 3 Purpose of Building CO rel ac/1 k..- Utility Authorization No. u 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 1� Location and Nature of Proposed Electrical Work: 1,,I cs h�}"i ry 3 \J fu e, T v L E t .94145 t, IQ exgm rms/ S 0WnCe5 5 I R'rliRoaMS,2 ear o ces' hall w ys__II coI plv nn break rwkv�a,-tios cm Completionof the following table pry be waived byithe I o)R'fres at d eAK i.13 No.of Recessed Luminaires No.of Can.-Snip.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4- No.of Luminaires Above In- No.of eLigating �D�" swimming Pod pend. ❑ grad. 0 UnEmergits ncy --' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initladntt Devices 1 No.of Ranges No.of Air Cond. Ton Tones No.of Alerting Devices Meat No.Si Waste Disposers Pump Number Tons KW No.of Self-Contained Totals: Detection/Alert ntDevica No.of Dishwashers Space/Area Heating KW Local 0 Monnectiunicipalon 0 Otho, C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data No.of inv Heaters KW Signs Ba Devices oruivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices or No.ofDevioaorEQ � t OTHER: Attach additional detail if desirei or as required by the Inspector of Wires. Estimated Value of Electrical Work:$4 030 43 (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE tir BOND 0 OTHER 0 (Specify:) I ow*,under the pains and penalties o ,that he information on this application is true and complete C, FIRM NAME: F. SOU Pt LeGilLiG . LIC.NO.: 2 2.'2 RT Licensee: Ev(3l'J be o R. 5o v s h Signature .!/ ..) LIC.NO.: a If' Addy be4 0 "acme"like cense ire) n &J 1�G 14 - a Alt.Tel.No.: ! tom "[5�j(y L(,E i't 11'' Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner'sent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ ,,O.60