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Home My WebLink AboutBLDE-22-003398 Commonwealth of Official Use Only fL Massachusetts Permit No. BLDE-22-003398 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:12/15/2021 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) 161 MID-TECH DR Owner or Tenant ELDREDGE THOMAS TR Telephone No. Owner's Address THE LAMB REALTY TRUST, 357 MID PINE DR,YARMOUTH PORT, MA 02675-1644 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 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: Upgrade lighting(THOMAS TREE) PIk Completion of the following table may be waived by the Ittapector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 11 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Signs 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: EVANDRO SOUSA Licensee: EVANDRO SOUSA Signature LIC.NO.: 22277 (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: $80.00 RECEIVED `, ryy� i1 e/Mumachwe/lle Official Use Only () - . DEC 13 20�c A c7 Pettit No. j "10 _ 2 nl./-.fin Sinicd:UILDING DEPART M,_ T Occupancy and Fee Checked `, \.:11 ..4 w- :!,..:.: a. --EVENTION REGULATIONS [Rev.1/07] (leave blank ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK vAll 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: I,2j 01 I oZJ,21 City or Town of: 1 A R.M J()1-4_ }-4 A To the Inspector of Wires: J By this application the undersigned gives noticeof his or her intention to perform the electrical an work described below. Location(Street&Number) 1 6i 1 1 i"1 i b-1C�� mot- DR. i i 4-Ay,- 6 'LL) Owner or Tenant 1140 f1 A S TR E(i SERA/)LE S Telephone No. rj7C 49 0 a 1.45 ifi Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 10 (Check Appropriate Box) to Purpose of Building (O(�F Q(ij/5 L Utility Authorization No. �4r)1 Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters V New Service Amps / Vohs Overhead❑ Undgrd❑ No.of Meters Ci Number of Feeders and Ampacity -2 Location and Nature of Proposed Electrical Work: L I gl-l':ma V P C,l-I;Olt, 40 LE b/ ON etA •• `i1lphly 7WOMl Jett RI Mezzo,toi NE root+, ^"MC i% Completion of the follow' table m be waived by the',evertor of Wires. vl LIA Z No.of Recessed Luminaires No.of Cell: ap.(Paddle)Fans To'o Transformers KVATota KVA Cl No.of Luminaire Outlets No.of Hot Tubs Generators EVA n 4 No.of Laminairos SwimmingPool Above In- No.or Emergency Lighting ,1 � grad. ❑ grad. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detecn and t No.of Switches No.of Gas Burners No InitiattngO Devices 11 No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Dlsposen HeatTi p Number Toffsotab: _._..KW......._. No. Deteetion/A1e Self-Contained Devices No.of Dishwashers Space/Area Heating KW Local 0 Mouuecfunllea 0 Other C No.of Dryers Hathag Appliances KW Security Systems:. No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsevices � No.ofDevicaorEq t OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: I 519.oo (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 iziBOND 0 OTHER 0 (Specify:) I certify,under tilpainsiusd penalties of,�+l ary,that the information on this application is true and complete. FIRM NAME: - vS R C IGGtRtc, LIC.NO.: ,V-2 44- Licensee: F1,A(dot ro R SOV5(} Signature J,(kn> LIC.NO.. 5j: —1 ) I (If applicable enter" t"'n the license number line.) --��__ Bus.Tel.No.:G) I HOO 55c, Address: yO Fr() Ell)C E ST r)At2t Ro Roy c,—rf r-t 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: lam 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 ❑owner's agent. Owner/Agent PERMIT FEE:S ni D Signature Telephone No.