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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
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Si , Department of Fire Services
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_Y ',,,-( .9 BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy/05and Fee lank)Checked
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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