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Home My WebLink AboutBLDE-22-004154 Custom Canvas a�,. Commonwealth of Official Use Only fa, Massachusetts Permit No. BLDE-22-004154 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/N 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 p Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone . Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST,HARWICHPORT,MA 02646-1517 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 ❑ 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(CUSTOM CANVAS) ( _, Completion of the following table may be waived nspector 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 42 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. 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 Ions No.of Waste Disposers Heat Pump Nun be Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ID Municipal ❑ Other: _ Connection No.of Dryers Heating Appliances KW Security Systems:. _ No.of Devices or Equivalent No.of Water ICy No.of No.of Ballasts Data Wiring: Heaters ,Stan 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 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 dbes not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.1 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$80.00 ,_r rii E C E .F, D C /tA Official Use Only • _ -� ommonwsa o��iueac uesffs c� �'J Permit No. 0 ZZ — I- sty �A N�� 2 sparimsnf o�.}ipe �arvicso Occupancy and Fee Checked LBUILDING r �'�;' 1-• -rv► g�ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 'y ---- 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: 01/12/2022 F City or Town of: Yarmouth-Ma To the Inspector of Wires: 9 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) -St 11 j t( 7/y /3 &,4 ,56,1/e 7? - Owner or Tenant Custom Canvas By Ray Keith Telephone No. 508 744-7310 Owner's Address Is this permit in conjunction with a building permit? Yes n No �C (Check Appropriate Box) ..n Purpose of Building Commercial Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd No.of Meters New Service Amps / Volts Overhead n Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Lighting upgrade Remo rm,Break nn,Supplies,office.Workspace,Bath hall.Bath hall, •a Supply closet,and Vestibule V) Completion of the followin&table may be waived by the Inspector of Wires. VI lb No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal C Transformers KVA c No.of Luminaire Outlets No.of Hot Tubs Generators KVA n. Above In- No of Emergency Lighting No.of Luminaires 42 Swimming Pool grnd. ❑ grnd. ❑ . Battery Units `1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na.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/Alertinp_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 'No.of No.ofK Data Wiring: Heaters Signs Ballasts No.of Devices or EWquivallent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equi nalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Si."'50 (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 ❑ 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 &vPo--St7u� LIC.NO.: 53191 (If 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) 0 owner ❑owner's agent. Owner/Agent ., . . -. I DrDIlIT 1C1C�'• e