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HomeMy WebLinkAboutBLDE-22-004151 Commonwealth of Official Use Only E. .,� Massachusetts Permit No. BLDE-22-004151 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: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 elecmcal work described below. Location(Street&Number) 203 WILLOW ST UNIT 1C Owner or Tenant MURPHY GARY S TRS Telephone No. Owner's Address 203 WILLOW ST UNIT 3,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 N�t s New Service Amps Volts Overhead 0 Undgrd 0 .of Number of Feeders and Ampacity W. Location and Nature of Proposed Electrical Work: Upgrade lighting(COYS BROOK LANDSCAPING) Completion of the following table may be a, f /S er of wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of O r o�tl, Transformers / ! KV1V.( No.of Luminaire Outlets No.of Hot Tubs Generators A No.of Luminaires 52 Swimming Pool Above 0 In- ❑ No.of Emergency Ltg Q 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. To No.of Alerting Devices Tons Na.of Waste Disposers Heat Pump Number Tons Kyy No.of Self-Contained Totals: Detection/Alertine 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 Sim 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: 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 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:S80.00 R-ECE@VED __.... — Conunonwra[tk o{ aaeac a e y Official Use my_ ( JA a .. c7 Permit No. l/�� ! S 2)eparlesen1 el_tins Semis d BUILDING E J - RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I2-00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 01/24/2022 City or Town of: Yarmouth-Ma To the Inspector of Wires: o By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ci Location(Street&Number) 203 Willow,unit C St Owner or Tenant Goys Brook Landscaping Telephone No. 508 362-4500 u �` Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) .1- Purpose of Building Utility Authorization No. Existing Service Amps / Voles Overhead❑ 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: Lighting upgrade:multiple rooms e. VI Completion of the following table maybe waived by the Ingrector of Wires. .oTotal llQ.� No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Traannrf Tsformer KVA KVA Ql No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting -4- No.of Luminaires 52 Swimming Pool grad. ❑ grnd. ❑ Battery Units J No.of Receptacle Outlets No.of OIl Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners No. Initiatingofon Devices I 1 I No.of Ranges No.of Air Cond. Tons No.of Alerting rung Devices No.of Waste Disposers Heat PumpT Number To' .... KW Dot oSelf-Contained� ertinng � No.of Dishwashers Space/Area Heating KW Local❑ Munrktp li ❑ Other Connccilon No.of Dryers KW Heating Appliances K sty Systems.* No.of Devices or Equivalent No.of Water , Po.of No.of Data Wiring: Heaters Signs Ballasts 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: $1,980.00 (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 ❑ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BAY STATE ELECTRICAL SOLUTIONS CORP LIC.N0.'53191 Licensee: Evandro R Sousa Signature EltR.iU PO'SCu4a, LIC.NO.: 22277 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: 833-710-1508 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)❑owner ❑owner's agent. Owner/Agent Signature Telrnhane Tin_ I PERMIT FEE:S S-0— I