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_
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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