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Home My WebLink AboutBLDE-23-005770 Commonwealth of Official Use Only ftil Massachusetts Permit No. BLDE-23-005770 \ 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:4/15/2023 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) 1050 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 (Check Appropriate Box) Purpose of Building Utility Authorization No. r _ 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: Install fire, security, &video system.(DUN� I UTS)j Cotnpletionfi1:2 On y the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans `-1 Total s KVA No.of Luminaire Outlets No.of Hot Tubs ��. KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of E r c grnd. grnd. Battery Units • No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS i. '• •s No.of Switches No.of Gas Burners No.of Detection and Initiating 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/Alerting 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 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:) I 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $115.00 Commotwee&el„(aeeacItuestla Official Use Only r y, i cc�y pp Permit No. �5�� 4 2 sparLnsent of gips Jereiced I! Occupancy and Fee Checked ro" 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 IPE.ALL TORNL4Tler,r), Date: /'ll I (/a 717 � City or Town of: O 1rYY)t a To the Inspector of Wires: By this application the undersigned gives not ,,I"_f his or her intention to perform the electrical work described below. Location(Street&Number) 1(' �t�T ,SJr Owner or Tenant K C IG AU ( 't"/ L- Telephone No.5Ug-3'14-0/3 Owner's Address Itug Pik)I t l .cf. f s all), M:--�/t si I C Is this permit in conju �Ld ton with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building )(T)(YlQr-C .Lk_.\ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd E No.of Meters Number of Feeders and Ampacity n • Location and Nature of Proposed Electrical Work: I(.1hG et�k, :4,t .3 y(l..t^rrl^.L ., MA a.i t3\-all i(, berg LIIQG as, l . , _ ' Completion of the followingtable may be waived by the Inspector of Wires. .oTotal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Trr ano KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.I Detectionn and lnitiating Devices No.of Ranges No.of Air Cond. Toms g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: .......................... .................. Detection/AlertingDevices No.of Dishwashers S ace/Area Heatin KW Local❑Municipal E Other P g Connection No.of DryersHeating Appliances Key ecu i Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: I Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equivalent OTHER: fi Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 7i)C) ) (When required by municipal policy.) Work to Start: 4/7A 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 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: Lemos Inc.(D.B.A Alarm Computer Technology) ._ \ LIC.NO.: 1448C Licensee: Helder Lemos Signature t� % ( LIC.NO.: (!/applicable,enter"exempt"in the license number line.) 7 Bus.Tel.No.: 508-676-6600 Address: 306 Wilbur Ave,Swansea MA 02777 i Alt.Tel,No.: "Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ssco-000aao 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 Signature Telephone No. PERMIT FEE:$ --- - - - ° -*^�=w�_�� ' .~. �^ � m° .�^�^ � \ � �� . ^ / / ' � . '� ' ' - ~ . ' . . ` ` ' . '�' ~� ^ - , - ^ . ^ ` , . ' - - ` ` .. - __-__' -- .~ � ~ `__� -__--_____ - _ _ _ ��--� __-_� - _- __-__'_- ._' -__' - _- '- __ ___- - '_-- _ _ _ ' ' ' ' �` ' . 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