HomeMy WebLinkAboutE-18-1638 Commonwealth of Official Use Only
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0- k Massachusetts Permit No. BLDE-18-001638 •
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.l/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:920/2017
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perlbrm 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 ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters I
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity J
Location and Nature of Proposed Electrical Work: AFCI C/B,dishwasher receptacle, under counter lights,vanity lights&relocate
microwave receptacle.(UNIT 336)
Completion of the foil ing . waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans N Total
T o KVA
No.of Luminaire Outlets No.of Hot Tubs Cen C KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Em grad. grid. Battery flails 4.8m
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMSq61�
No.of Switches No.of Gas Burners No.of Detection and Q
Initiating Devices V
No.of Ranges No.of Air Cond. Total
oe l No.of Alerting Devices �o,,�
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained (� j[
Totals: Detection/Alerting Devices v
No.of Dishwashers Space/Area Ileating KW Local 0 Municipal ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Watery No.of No.of Data Wiring:
Heaters Signs 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 if destreid 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 ❑ 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 Macenerney
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 1 am the(check one) 0 owner 0 owner's agent.
Owner/Agent
SignatureatTelephone No. PERMIT FEE: $80.00
vCB UmLl-- rok tee_.--
R lei► N (?cb &t/nt11e cry. cie ) C pfO
A Commonwealth of Massachusetts O ci Use o d 3 �,/
'I=f„-__ems t / ZS
Department of Fire Services Permit No. Alli-
-fl_-t,#, r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.9/05] (leave blank)
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 INFORMATIOII) Date: '3/25211-1
City or Town of: 10LernDta-k To the inspector of Wires:
By this application the undersigned gives notice f his or her intention to perform the electrical work described below.
Location(Street&Number) i, N. Main &. Unit 33/ .
Owner or Tenant Th it tn/oay, l acs �O 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❑ 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: Ref la de rl bt'ea Ker to fief IN A F .-1 t t Is h v,VA A11P r
nufIe+. urcleroabtne4-llok}.\ van;1-I 1110-c move nn;Nit) 10tt,9
Completion of the followin• table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: — Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW LocalMunicipal
❑ Connection ❑ Other
No.of Dryers Heating Appliances KV Security Systems:*
No.of Water No.of Devices or Equivalent
Heaters KW No.of No.of Data Wiring:
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 tail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required municipal policy.)
Work to Start: . Inspections to be requested in accordance w MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner;no permit for the p ce 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 of perjury,that the information on this application is true and complete.�1 ' I
FIRM NAME: 1uJler l ,�nC:C) n,4a�V LIC.NO.: A (11-s q
Licensee: Letn(.o rna' tl t°(fl e y Signature S.2_ LIC.N
(If applicable,enter"exempt"in the licens umber I ne.) us. eL Nt --d j`77 b'-O0 36
Address: lab?, Ih t n 7i �r vittaAlt.Tel.No.:
*Security System Contractor License required for this rk;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: $ VI®
ov•Y`tk TOWN OF YARMOUTH
'�N' 4b. BUILDING DEPARTMENT
o-4 . y 1146 Route 28,South Yarmouth,MA 02664
AA MAT,,:in n �'
-et!"- ,E„M-� 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(&yarmouth.ma.us
June 14,2018
Lance Macenerney
Fuller Electric
126-A Mid Tech Drive
West Yarmouth,MA 02673
RE: Thirwood Place(UNIT 336)
Permit Number: BLDE-18-001638
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
K.Elliott,
Inspector of Wires