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Home My WebLink AboutBLDE-22-004155 of Commonwealth of Official Use Only teltik sitMassachusetts Permit No. BLDE-22-004155 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) 14 IYANOUGH RD Owner or Tenant HANDEL EDWARD K TR Telephone No. Owner's Address MAIN ST RLTY TRUST,59 HORSESHOE BEND WAY, MASHPEE, MA 02649 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro ttt ox) Purpose of Building Utility Authorization No. ,„ N.—"" Existing Service Amps Volts Overhead 0 Undgrd 0 , i M e& "'' New Service Amps Volts Overhead 0 Undgrd 0 0,btetEr�"s re M ,� . r Number of Feeders and Ampacity L = i < r r Location and Nature of Proposed Electrical Work: Upgrade lighti ' ' :RV:C`NTER L''� f "� Completion of the following table m . t'jy/ clb/of Wires. No.of Recessed Luminaires No.of Ceil:Sus Paddle Fans No.of s,, fit. p'( ) Transformers 3 N.,,, No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires 6 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 Initiatine Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 N 1 Q % l2 ' --r1 E E ! V F-D , I C ea 4 el7i11�h .t rO�fcia1 Use Only ,.- JAW.' ' !/ Permit No. 8 C�Z. 1 (SS • 2� Occupancy and Fee Checked 1! i ENT BULL°�ti .I. ___ BARD OF FIRE PREVENTION REGULATIONS . 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: 01/24/2°22 g City or Town of: Yarmouth-Ma To the Inspector of Wires: j By this application the undersigned gives notice of his or her intention to perform the electrical work described below. U Location(Street&Number) 14 Iyanough Rd Owner or Tenant MCD RV Center Telephone No, 508 775-6311 v _; Owner's Address tit Is this permit in conjunction with a building permit? Yes ❑ No 2 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Lighting upgrade:common room , Completion of thefollowinntable my be waived by the!nsyec for of Wires. v-v No.of Total F No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ca Above In- lro.of>umergency Lighting 4- No.of Luminaires 6 swimming Pool g ❑ &r„t 0 Battery units �? No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones -- No.of Switches O.of Gas Burners No.of Detection and Initiating Devices s< No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Heat Pump Number ,Tons ll KW .__ No.of Self-Contained Totals: _ 1 Detection/Alertingpevices No.of Dishwashers Space/Area Heating KW Local❑ Cyonnection Municipal ❑ Other No.of Dryers Heating Appliances ' Security, f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications r EWg=nt OTHER: Attach additional detail?"desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $222'0° (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE gl BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the iafortnatlon on this application is true and complete. FIRM NAME: BAY STATE ELECTRICAL SOLUTIONS CORP LIC.NO.: 22277 Licensee: Evandro R Sousa Signature EC r(7 Sow*, LIC.NO.: 53191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:833-no-150$ 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 ❑owner's agent. Owner/Agent 1 PERMIT FEE:$ .. - Signature Telephone No_ i .0