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HomeMy WebLinkAboutE-18-1634 d � Commonwealth of Official Use Only 4196Massachusetts Permit No. BLDE-18-001634 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:9/20/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 237 NORTH MAIN ST Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST,SOUTH YARMOUTH, MA 02664-3150 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: BAthroom fan switch,AFCI C/B,NC disconnect, &micr e rec'p. (UNIT 301) Completion of the folio )e m" d by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. / 0 J Total Trans �/IVr KVA No.of Luminaire Outlets No.of Hot Tubs Generator • <�/ A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency 1� �(/S//\v grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,o ea No.of Switches No.of Gas Burners No.of Detection and InitiatingDenth ✓la No.of Ranges No.of Air Cond. Total No..offAlertingg Devices Ton. 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 Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Ilydromassage 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: Lance A Macenemey Licensee: Lance A Macenerney Signature LIC.NO.: 11149 (If applicable,enter'exempt"in the license number line.) Bus.Tel.No.: Address: 126A MID TECH DR,W YARMOUTH MA 026732560 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 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 14et&I, 431 (] e Cali Pte) • .., y :Al. Commonwealth of Massachusetts Official used S '5 Et PennitNo.r' ' •1 Si , Department of Fire Services V k__ _Y ',,,-( .9 BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy/05and Fee lank)Checked J (leave blank) la 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: $lag ri 4 City or Town of: )6 I(rn ai r- \ 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) psi-1pft. mal(\ stur (Q- 30i 0 Owner or Tenant 1-11,(r(OOtl lac e.. Telephone No. t* Owner's Address O Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: B0.411CoorA 'CanStns 4Ch 1 Calnieci Out breaker 40 tr AR,I one. Qeebaced Aja Diseoime& mierotavoty Completion of the followingjtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp. Trr(Paddle)Fans TsT Val annsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g 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 AlertingDevices 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 I-1 Other Connection No.of Dryers Heating Appliances KW Security Systems:'I No.of Devices or Equivalent No.of WaterKW 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: (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 ains and penalties ofperju ,that the information on this application is true and complete. p FIRM NAME: F�A kir fleck d e CO MPC*A\ LIC.NO.: A I(I 1 t Whet__y _ irnAtPhe(nt Signature MC.NO.: of applicable,enter "exempt"in the license number line) us.Tel.No: Address: Oh)A FYI i D TeC� UQ W.\tQ((n ou Alt Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: 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 Signature Telephone No. PERMIT FEE: $ gO.Oc) .0i'VA,* TOWN OF YARMOUTH ! � , a BUILDING DEPARTMENT o y 1146 Route 28, South Yarmouth,MA 02664 r ^^ ^ 5'';d 508-398-2231 ext. 1263 Fax 508-398-0836 ••' K. Elliott, Inspector of Wires kelliott(a varmouth.ma.us May 31,2018 Lance MacEnerney Fuller Electric Co. 126 A Mid Tech Drive West Yarmouth,MA 02673 RE: Thirwood Place(UNIT 301) ) Permit Number: BLDE-18-001634 Dear Lance; The above noted location inspection failed to pass for the reason(s) listed. Article 314-20 More than 1A" set back of box on back splash of kitchen wall. Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and advise when the corrections have been made and when access may be gained, to the property, for the re-inspection. If you have any questions please do not hesitate to contact me. Sincerely, Town of Yarmouth, Building Department g' a tiayea K. Elliott, Inspector of Wires