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Home My WebLink AboutBLDE-23-002081 7. o► ► ��/ j1 Commonwealth of Official Use Only �'� yviii,tw / Massachusetts Permit No. BLDE-23-002081 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] .i • PPLICATION 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:10/18/2022 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) 44 MADISON AVE Owner or Tenant MARSHALL SHAWN Owner's Address 44 MADISON AVE, SOUTH YARMOUTH, MA 02664 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo.x) *b Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 gNo.of Meters New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity gNo.of Meters Location and Nature of Proposed Electrical Work: Wire garage to code. 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- ❑ 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 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Municipal Local ❑ P 0 Other: No.of Dryers Connection y Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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:) ce I certify,under the pains and penalties of perjury,that the information on this applications true and complete. t� FIRM NAME: Licensee: Julio Borges DeSouza Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 56853 Address: 108 S 7th Street, New Bedford MA 02740 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. 'PERMIT FEE: $75.00 I DNA. c 612A 7-Prk- - 7' Ala , /3 ii 23 k ri._,_ ________:7R,E ,„,.,,,,_,, ., „ E . OCT 1 ' . Conunonwaanh colMaeaachuaslle_________,_._ fficial Use Only I', !i It cc'�'� J c7 B U I L D I`4 G :k > # i 2epartnuenl o Mire Services Permit No. �'' �v --------A � . i1 — �+ Occupancy and Fee Checked p�,, FOARD OF FIRE PREVENTION! REGULATIONS [Rev. I107j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cods(MEC),527 CMR 12.00(PLEASE PRINT IN INK OR T PE ALL INFORM,4TION) Date: t`-'► City or Town of: 3 Ai/lb(()01(6 t 0 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) It/ hi46li$Crto A.1 € . /Owner or Tenant 3 g e.peini)1:f� -e atze -�„ Owner's Address "'Telephone No., ti r t`{ }�' Is this permit in conjunction with a building permit? Yes EK No E (Check Appropriate Box) Purpose of Building </u i cr 0 eA c C o f ei, P (, z,t CA(i Utility Authorization No. Existing Service p')<}A Amps /00 Jo1 Vc Volts Overhead Undgrd C No.of Meters New Service Amps / Volts Overhead E Undgrd g U No.of Meters Number of Feeders and Ampacity location and Nature of Proposed Electrical Work: UJ1 .4 fl A4 ( d Completion of the.following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii: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- No.of Erg Lighting grnd. grad. ❑ Battery Units '- No.of Receptacle Outlets 02 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 'No,of Detection and No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'Heat Pump 1 Number [Tons I KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal other Connection ❑ No.of Dryers Heating Appliances Kam, Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: / p O c� (When required by municipal policy.) Work to Start: ? i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the oance oftrical work may issu the licensee provides proof of liability insurance including"completed operation"coverage or its esubs substantial equi ale to The unless 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 perjury,that the information on this application is true and complete. FIRM NAME: Licensee: �� LIC.NO.: % ' A Signature \ (If applicable,enter exempt in the license number line.) LIC.o • z j� _� Address: -- Bus.Tel Na: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Alt.TeL 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 one)below,I hereby waive this requirement. I am the(check o $ owner Owner/Agent Signature ■ owner"s a:ent. _ Telephone No. PERMIT FEE: 7S