HomeMy WebLinkAboutBLDE-22-004153 GMP Properties Commonwealth of Official Use Only
to
Massachusetts Permit No. BLDE-22-004153
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.1/071
APPLICATION FOR PERMIT TO PERFORM ELECTRICAVVicORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C 150' _-
(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) 714 ROUTE 6A
Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. ( `' �
Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST,HARWICHPORT,MA 02646-1517 �f „-,.,
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) "f /{"�• '',./
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters /91��..yy -''
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters ,/
Number of Feeders and Ampacity l
Location and Nature of Proposed Electrical Work: Upgr5ade lighting(GMP PROPERTIES)
Completion of the following table may be waived by the Inspector 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 12 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. Total No.of Alerting Devices
l oils
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 ❑ 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 _Stens No.of Devices or Equivalent
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 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 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:$80.00
Fcli
vED
R ---' -1 1 Commonwealth o`kaedachuaefts Official Use Only
r' ' " c� c�77 n[� Permit No. C�2_1-1.t 53
* 'r O22 �5sparfnunl oi }irs Services
Occupancy and Fee Checked
BUILD
f'ARl 1RI OF FIRE PREVENTION REGULATIONS Rev. 1/07) (leave blank)
By •
- • LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
9 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: 01/12/2022
-E City or Town of: Yarmouth-Ma To the Inspector of Wires:
w By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
1., Location(Street&Number) 716 Rte-6a Yarmouthport,MA 02675
Owner or Tenant GMP Properties Telephone No.
'n Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
® Purpose of Building Commercial Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps / Volts Overhead❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Lighting upgrade.Office,bathroom and batrhroom sink
.I
wCompletion of the followingtable may be waived by the Inspector of Wires.
Lb No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal
z Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 12 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grad. Battery Units
.1 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
1` 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 ❑ Other
Connection
No.of Dryers Heating Appliances KW Security
Systems:*
Devices or Equivalent
No.of Water , 'No.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: $346.00 (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 Rj BOND ❑ 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.NO.: 22277
Licensee: Evandro R Sousa Signature Et/andr'0"Sower LIC.NO.: 53191
(lf applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 833-710-1508
Address: 7203 TIMBERVIEW WAY,Marlborough ma 01752 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 I PERMIT FEE: S 7) —
Sianatnre Telephone No.