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Home My WebLink AboutBLDE-23-004450 Commonwealth of Official Use Only \ Massachusetts Permit No. BLDE-23-004450 �—'' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:2/13/2023 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) 464 ROUTE 28 Owner or Tenant DUNKIN DONUTS Telephone No. Owner's Address /� Is this permit in conjunction with a building permit? Yes 0 No 0 (Cli dp)ropriate�yx) Purpose of Building Utility Authorization Y 4. Existing Service Amps Volts Overhead 0 Undgrd b New Service Amps Volts Overhead 0 Undgrd .► _ Number of Feeders and Ampacity `•' Location and Nature of Proposed Electrical Work: R&R security&fire alarm devices(DUNKIN DONUT 4�'8 (N �� Completion of the following table may aj Ririnspector of Wires. No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans No.of <v� /^� 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 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 "Ions KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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: Heatpry Siens 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:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Helder A Lemos Licensee: Helder A Lemos Signature LIC.NO.: 1448 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:306 WILBUR AVE,SWANSEA MA 027772631 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:$115.00 1 ,,p Corn,, nweallh o/RamacC etj Official Use Only /, * �+ 1!t .[.)epartineat oi tirs�srurcas Permit No. �"—`Jt 44tO = - ►f-;4 Occupancy and Fee Checked • ;,.-.--,,i' BOARD 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 TY E.AL INFORMATI,OM) Date: f - �j/ 2'3 City or Town of: �25/ /o(.r rf 6 U To the Inspector of Wires: By this application the undersigned gives ne of his or her intention to perform the electrical work described below. ^rW° Location(Street& mber) 4 r Q, of s 1 Owner or Tenant t . I - n 4 L elephone No. Owner's Address i c 'kr—nn& ' ; iv114 6.46?7 3 Is this permit in conju 'on with a building permit? Yes ❑ o L.ia (Check Appropriate Box) ep Purpose of Building Lbrn mid.r-33tu-Y Utility Authorization No. Existing Service Amps / Volts Overhead E Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L(Di-i �1�iG.71'Z Ac8 (A) `ia.rmc,u ., I`14 ti a 44,7 3 -Ilsr>,unt -12w-t, borjax° u►cam '1r-� 7- \T -rcn+ ev(12 s--i-o�R. ' IQ+ rcc rfE3' 0-105)-ca`11 On OU710. I lU('G -t!^, t)Prat] r&mid efloofZiaya of the followin&table may be waived by the Inspector of Wires. No.or Total No.of Recessed Luminaires No.of Ceil:Susp.(Padd e)Fans Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting , grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices No.of RangesNo.of Air Cond. 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 Local❑ Municipal El Other P Connection No.of Dryers Heating Appliances KW 'Security Systems:* rY No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Ens quivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices oor Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:' 7, 7v L, (When required by municipal policy.) Work to Start: .:.. 3'.. 3 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 perjury,that the information on this application Ls true and complete. FIRM NAME: Lemos Inc. (D.B.A Alarm Computer Technoloov) - LIC.NO.: 1448C Licensee: Helder Lemos Signaturef LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-678-6800 Address: 306 Wilbur Ave, Swansea MA 02777 / Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SSCO-000860 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. • . akIr . . 31`.. •• 6.*1\ •..,• •. . • k . . . ., . . • . . • ...• • • . . . • • • •. . . . :.•• ' ;•'.• • , r 7 _ . . . . , • — _ • • • . . . • ._. ;•-• • • • • , . - • •• • .• • 5 : . . . .• , . .• . . . . • . •- • _ • • •• • . „ . • . . • • • 3 • .•• • • . . . • • • • . . _ • - • • • 't", • • ,„.. .