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Home My WebLink AboutBLDE-22-004156 Commonwealth of Official Use Only lilt') Massachusetts Permit No. BLDE-22-004156 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) 20 CORPORATION RD Owner or Tenant R J B BOATS LLC Telephone No. Owner's Address 20 CORPORATION RD, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Che l i Purpose of Building ox) Utility Authorization No/ 4N;'_,� Existing Service Amps Volts Overhead 0 Undgrd 0 •': Li > e New Service Amps Volts Overhead 0 Undgrd 0 `�' . et ,,fi f Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade Iightin,- F 7, /�� Completion of the following table may a' ed e ,. for of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of y tal Transformers VA No.of Luminaire Outlets No.of Hot Tubs �/ Generators KVA No.of Luminaires 29 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Eauivalent Heaters KW No.of No.of Ballasts Data Wiring: Siena No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Eauivalent 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 ofperjury, that the information on this application is true and complete. FIRM NAME: EVANDRO R SOUSA Licensee: Evandro R Sousa Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 53191 Address:202 N QUINSIGAMOND AVE, SHREWSBURY MA 01545 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$80.00 I ,, RECEIVED �___P ._,. A ,r1.,, Comawaw.mt h s{ faeeackiestid Official use Only J Permit No.�22--4(S =, _ .� ,,� fr �Ssosi�a,.nt��,,.Serviced BUILDI IVIENT ey ` ►. .,, ' BOA-D OF FIRE PREVENTION REGULATIONS Occupancy F�Checked i/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: of r2arzorz City or Town of: Yarmouth-Ma To the Inspector of Wires: C.1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)co, 2o CORPORATION RD Owner or Tenant CHARR CUSTOM BOAT CO LLC Telephone No. 50e 375-002e Owner's Address 1. Is this permit in conjunction with a building permit? Yes 0 No Ea (Check Appropriate Box) Purpose of Building Utility Authorization No. p Existing Service Amps / Volts Overhead 0 Undgrd ID No.of Meters ® New Service Amps / Volts Overhead El El No.of Meters Number of Feeders and Ampacity -471 Location and Nature of Proposed Electrical Work: Lighting upgrade:multiple rooms t+ Completion of thefoiowingtable m be waived by the hrspector of Wires. �3 No.of Recessed L No.of CeB. No.of Total Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 2s Swimaotin p� Above In- No.or Emergency Lighting g rind. ❑ grad. ❑ Battery Units `: No.of Receptacle Outlets No.of OH Burners FIRE ALARMS 1No.of Zones Devices 4 Na of Switches No.of Gas Burners No.Ifs$n and f:,° No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Dhlpmers Heat Pump'Number Tons 4KW iVo,of f-Contained Totals: SelDetechon/Ale No.of Dishwashers Space/Area HeatingKW Mun t c 4, Devices Local❑ Connection ❑ Other No.of Systems:* No.of Water KW Heating Appian KW No.of Devices or Equivalent Heaters No.of Data Signs Ballasts No.Wiring: f Devices or Equivalent No.Aydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devicesor Equivalent OTHER: Estimated Value of Electrical Work: $1,155.00 Attach additional detail if desired or as required by the Inspector of Wires. Work to Start (When requiredby municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance the licensee provides proof of liability insurance includingof electrical work may issueent. The undersigned certifies that such coverage is in force,and has exhibited proof operation"of same to theee or its substantialssuin equivalent. The CHECK ONE: INSURANCE ► proof of to permit issuing office. BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perja y,that the information on this FIRM NAME: BAY STATE ELECTRICAL SOLUTIONS CORP llCai<'on true and complete Licensee: Evandro R Sousa LIC.NO.:22277 (/f applicable enter"exempt" Signature a rP'Scrums LIC.NO.: 53191 Address: 7203 TIMBER WAY,Marlboroughlicensenumber it .) Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requirescafety se: Alt. Tel.c. No.: OWNER'S INSURANCE WAIVER: I am aware that Departmenticensee does not have the liability ityi y insurance coverage normal! required by law. By my signature below,I hereby waive this requirement. I am the(check one ownerY Owner/Agentowner's eat. PERMIT FEE:$ GD� o T'elpnl�nne Na_