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Home My WebLink AboutBLDE-22-003399 Commonwealth of Official Use Only tE' !1�1```o Massachusetts Permit No. BLDE-22-003399 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ IRev.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) 18 ROUTE 28 Owner or Tenant FOSTER FRANCIS X Telephone No. Owner's Address PO BOX 2628,HYANNIS,MA 02601 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting(T-SHIRT AUTHORITY) �jrr/ Completion of the following table may be waived 044 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 24 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 ❑ 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 cert jy,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:$80.00 = RECEIVED ;' DEC 1 3 2021 Co weveaith 0/Maeeaeti.491#e Official Use Only y ai Permit No. 33 °nit*Services IP 1.` DING DEPART M' a ' Occupancy and Fee Checked A'-- :•: • =is i " -REVENTION REGULATIONS [Rev. 1/071 (leave blank) Ira- ' ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK U All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L2_,11( 2 t U City or Town of: U r It J V i 14 - "1 A To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) t_p�� QQ a _ 02,2 1J Owner or Tenant j tj141 k"r3 hull-to Q1 y �-Telephone No. 14 S-�y 2 l?' Cif Owner's Address c/1 Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box) 0 Purpose of Building C,o mr P,CAC l Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters VNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 2 Number of Feeders and Ampacity _ 2 Location and Naturetu� of Proposed Electrical Work: Cilian e, e- i S{•1 113ht5 40 LED. 1 ,(31,�� •• K al� (00/A PrOCESSiNS r Ooi'r� SU�.� ,:c t-r�t1-, 1- tS-1 R9vv11 Completion ojthe followingtable may be waived by the Inspect of Wires. otal Ui No.of Recessed Luminaires No.of Cell. Fans No.of TT '$° (Paddle) Transformers KVA q No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting ..et No.of Luminaires 1 Swimming Pool�d ❑ grad. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones • No.of Switches No.of Gas Burners No. Initiatingof Deteon and F Devices 1:' No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pump Number Tons W No.of Self-Contained No.of Waste DisposersTotals: �-K --- Detection/Alert1ngDevices No.of Dishwashers Space/Area Heating KW Local 0 M Connection No. 0 Other No.of Dryers Heating Appliances KW Secu No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sims Ballasts No.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or gEquivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 't' S? V. 17i) (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 Er BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and cotrrpkte. FIRM NAME: E _ SQV 5 11 E le.ctric, LIC.NO.: 2,21, Licensee: gV°IANd ro R So us A Signature �‘ LIC.NO.:�i.31011 (If applicable t"in the license number lir .) 0 1_ _ Bus.TeL No.•9 4` 40 4i r55 G Address: A 0 re nee, 5-r/ ) 1 a QA.A �L041 A 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 ent. Owner/AgentPERMIT FEE: $YQ. C)O SignaturetuneTelephone No.