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Home My WebLink AboutE-18-1623 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-001623 a "- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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 IN INK OR TYPE ALLINFORMATION) 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 perform 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 ❑ 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: Renovations Add pendant light,install AFCI C/B's,Add vanity light 8 dish washer receptacle(UNIT 111) Completion of the following table may be w'ived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , Total Transform. KVA No.of Luminaire Outlets No.of Hot Tubs Generato /) KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No,ofEme .- . y .': grnd. grnd. Battery UnitstO 4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS b fe No.of Switches No.of Gas Burners No.of Detection and Initiating Devices VV No.of Ranges No.of Air Cond. Total No.of Alerting DevicesO10S 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 ❑ Municipal ❑ 4 er: 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 Siena Ballasts No.of Devices or Equivalent No.hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: % No.of Devices or Equivalent OTHER: Attach additional detail i(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 Macenemey 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 C — Commonwealth of Massachusetts Official Use Only v ---' —** ='t Permit No. Department of Fire Services ,. E 1I y -- Occupancy and Fee Checked °' BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME 527 12.00 4 (PLEASE PRINT ININK OR TYPE ALL INFORMATIOI9 Date: $[a a � Cityor Town of: tin y� � Ql'(Y]OU To the Inspector of fires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) oAri N. f' '1 n St L(ni f I l I Owner or Tenant-1i Irrd&Yk1 P I a P.r, Telephone No. Owner's Address 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 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: Alta I-(,4 hi-a,^]n9 i clavvgec( tyeejeers P v"-d•± , Added nav ify tI NM-,c tShrtasheroudid Completion of the following table m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tonsd Total Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires 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 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 ICW Local 0 Municipalnnection 0 Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water ICIV No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.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 pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Fol Its- Ct c€tC Ca INN Par.I LIC.NO.: A I l 1 q9 Licensee: Lane e ttP -Pne(neyl Signature _ LIC.NO.: (If applicable,enter"exempt"in the licet�se numder line.) _t_r Bus.Tel.No.(r5Os 71 1, -cc 30 Address: 0/ (Y1 A Al 1 bTccS Or 1*-1-NOL ILCHeN 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 PERMIT FEE: $Telephone No. "50 at)