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Home My WebLink AboutBLDE-22-003365 Cape Linen Commonwealth of Official Use Only 16\ Massachusetts Permit No. BLDE-22-003365 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:12/14/2021 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) 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 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. (CAPE LINEN RENTALS, 722 ROUTE 6A) Completion of the following table may be"f�� e 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 18 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 Initiating Devices 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 0 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 l Telephone No. PERMIT FEE: $80.00 / l/ZI1S174 (lLo ) _. RECEIVED `1' n i ' 77' 4awinonw.a/th of tt/aeeachue.a, Official Use Only I1 B v c�, c7 Sundae Permit No. 6 f-33G,S ,a 1Jpartawat. o/Jin I. - Occupancy •\/` BOARD OF FIRE PREVENTION REGULATIONS [Rev.Iro7) and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MM.527 CMg 12.00 (PLEASE PRINT IN INK OR TTPE ALL INFORMATION) Date: 1 �a2 i 3 City or Town of: ' A R('10 U"-H _ CIl 11— To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V ,2 2 Location(Street&Number) I 111 F I1 NI 3T Owner or Tenant C n-P r 1.1 1'^J E't/ ' C( fl L. Telephone No.SOT( `j 6 1 <of Ci.) Owner's Address Q Is thispermit inconjunction with a buildingYes No s, permit? ❑ in (Check Appropriate Box) 1 Purpose of Building Ci0IY1/-7 i-U<J2, Utility Authorization No. ?i to Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: L`rAh-k r n V n q rdcle, Completion of the foUosv ng table may be waived by the lissyector of Wires. U.) No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total Transformers KVA G1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA a *• No.of Luminaires I Swimming pool Above ❑ In- ❑ No.of Emergency Lighting end grad Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones F No.of Switches No.of Gas Burners No.Initiating fni neng Devn ices I l) No.of Ranges No.of Air Cond. TOENo.o f AlertingDevices Tons No.of Waste Disposers Totals: Pump Number Tons KW_. No.of Self-Contained Totals: Detection/Alertins Devices No.of Dishwashers Space/Area Heating KW Local❑Con ici n 0 °tiler No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Day Wiring:Heater Signs Ballasts No.of Devices or uivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNDeviceor No,of Devices or Egaiv t OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Sc)I (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.53.'BOND 0 OTHER ❑(Specify:) I certify,under aspen,and penalties o fad•a that the information on this application is true and complete FIRM NAM : ', tJ S(k 'l C C-rI�i C. LIC.NO.:,�> ,-4 Licensee: V(�N11Qp , 5OUico, Signature LIC.NO.: o (if applicable,enter"crews,"in the license_pumbe ne./ Bus.TeL No.'"11+ 1(� 'I1%o Address: `1 U r("0 r.L Sl` l� Q L ?tO hi Pi AIL 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 0 owner's agent. Owner/Agent-- SignapQatureunePERMIT FEE:S.. Telephone No. !� .Q6