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Home My WebLink AboutBLDE-22-005749 Commonwealth of Official Use Only ►.fG�N Permit No. BLDE-22-005749 xs. 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:4/8/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location(Street&Number) 44 MADISON AVE Owner or Tenant MARSHALL SHAWN Telephone No. Owner's Address 44 MADISON AVE, SOUTH YARMOUTH, MA 02664 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: Demo unpermitted&illegal installation. 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 ❑ In- ElNo,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 Initiative 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 ❑ 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: C Heaters Signs No.of Devices or Equivalent V No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: ri No.of Devices or Equivalent ss OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) 1I(� 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: Licensee: Julio Borges DeSouza Signature LIC.NO.: 56853 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 108 S 7th Street, New Bedford MA 02740 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: $50.00 i ( ( tsr by m CA- c sp 7,- Ale Detect Piwas , m.44, t;YL-I vt,.T ed.itai ,-,--- ,670 o s clo peztvters RECEIVED t1 n / Official Use Only�/7��71 APR 0 f� 202Z 0 monwea�h.o/mamachubetti Permlt 1\0. [ l E t1 ING DEPARTME ,partment o/.ire Permit a --- Occupancy and Fee Checked ,' x• 4 'a 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: V , '-// 07 L1 City or Town of: \I A(EH pit L 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) Zig fri ,co,., I4V/' . Owner or Tenant SLjq,. N /mil 6,.2 j 1,,c r Telephone No. Owner's Address Y V pf(4. s_o f/u 9, _ Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building De"-e,o Utility Authorization No. Existing Service t Amps lj0 / 2VOVolts Overhead Undgrd No.of Meters New Service Amps / Volts Overhead Li Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No. of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW 1 Local❑ Municipal ❑ Other p Connection e. uri S No. of Dryers Heating Appliances , Sec No o yf Devi es or Equivalent No.of Water K,W No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydrowassage Bathtubs No.of Motors Total HP Telecommunications NofDeiceorWiring:q al No.of Devices Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 0t,OLD. (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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuiy,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: ��1 c U 2 m Signature �� LIC.NO.:SC(, 85`3-8 (If applicable, enter "exempt"in t e license number line.) Bus.Tel.No.: .°.a'0%441 i'P1— Address: 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 PERMIT FEE: $ Signature -- � Telephone No.