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HomeMy WebLinkAboutBLDE-22-004157 c oE, , Commonwealth of OffcialUseOnly � Massachusetts Permit No. BLDE-22-004157 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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: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) 203 WILLOW ST UNIT 1B Owner or Tenant MURPHY GARY S TRS Telephone No. Owner's Address 203 WILLOW ST UNIT 2,YARMOUTH PORT,MA 02675 ^ Is this permit in conjunction with a building permit? Yes El No 0 (Chec Ate Box) Purpose of Building Utility Authorization No. 4. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead ❑ Undgrd ❑ +Will& - Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Upgrade lighting(CAPE ASSOCIATES) U/, �j//V3/j� Completion of the following table m b AI c or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of VVV /� otal Transformers ( /nVCVA No.of Luminaire Outlets No.of Hot Tubs Generators /2 < VA No.of Luminaires 49 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. Tot 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 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: 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 ❑ 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 urn the(check one) El owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$80.00 R E C §a10 E ® / I official Use only _. . _ -- -- cwnawnwea[tk o� adeacl�ue.�6 "1 r} 2 \1. Permit No. ZOcyandFeeCheed BUILDING,; i M, D OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) �Y LIGATION 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: 01/24/2022 c. 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) 203 Willow,unit B St 1 Owner or Tenant Cape Associates Inc Telephone No. 508 362-9770 �a,i Owner's Address 1'4: Is this permit in conjunction with a building permit? Yes ElNo ® (Check Appropriate Box) Purpose of Building Utility Authorization No.erv Existing Service Amps / Volts Overhead El Undgrd CI No.of Meters Newrvice Se Amps / Volts Overhead ID Undgrd 0 No.of Meters Number of Feeders and Ampacity ril Location and Nature of Proposed Electrical Work: Lighting upgrade:multiple rooms V1Completion of the followingtable mya be waived by the Infector of Wires. LbNo.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.of Total Z Transformers KVA C i No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires 49 swimming pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones T. No.of Switches No.of Gas Burners No.of Detection and Initiating Devices l;i No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons -�KW No.of Self-Contained Totals: -- Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Municipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW SecurityN y ofstems:* Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Data llo.of Devices or Equivalent No.H drom a Bathtubs No.of Motors Total HP Telecommunications Wiring: y assag No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $604.5° (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 tRi BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. BAY STATE ELECTRICAL SOLUTIONS CORP LIC.NO.: 22277 FIRM NAME: Evandro R Sousa 1 Licensee: Signatrrre�lJttl1l�Yty'SUiN401' LIC.NO.: 53191 (if applicable,enter"exempt"in the license number line Bus.TeL No.: 833-710-150E Address: 7203 TIMBER VIEW WAY,Marlborough ma 0175 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 0 owner's agent.l Owner/Agent TPI�.ti�ne N� I PERMIT FEE: $ -U Signature