The URL can be used to link to this page

Home My WebLink AboutBlde-19-000431 I or Commonwealth of Official Use Only Permit No. BLDE-19-000431 iti.litti Massachusetts 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:7/23/2018 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) 49 NORTH SANDYSIDE LN Owner or Tenant SANDY SIDE CORP Telephone No. 6 Owner's Address P 0 BOX 525,YARMOUTH PORT, MA 02675 p� Is this permit in conjunction with a building permit? Yes 0 No 0 (Che -s s r' •: Q Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 41. f 44 '/ New Service Amps Volts Overhead 0 Undgrd 0 No. '1k Number of Feeders and Ampacity44t.p Location and Nature of Proposed Electrical Work: Upgrade service, HVAC,&well pump. Completion of the following table may be waived by the Ins.• ! ,f 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 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 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 Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 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 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:$100.00 eel -2(z. b t-& ea* "J g4 Comasoneusa&el Mamaciutostis oC1371 C ` T_0111 4 J 0• B fi 1 Permit No. �` . �1.. ... 7 .2Ipar6neni of gire Spaced :' Occupancy and Fee Checked an BOARD OF FIRE PREVENTION REGULATIONS [Rev. 'an (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 TY E ALL INFORMATION) Date: '7/2O/18 City or Town of: a(m Ou. '1 To the Inspector of Wires: By this application the undersign gives notice of his or her intention to performC a electrical work described below. Location(Street&Number) '1 i ti1r}r+VI z 1 cat de, Lim e, Owner or Tenant e*IQ fr eo beck Trust- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 0 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters aNumber of Feeders and Ampadty 0 Location and Nature of Proposed Electrical Work: E j can G. Se cuff,:C e t to i{e t-4 VA e.j (I p ump cc nCompletion of the followingtable may be waived by the Inspector of Wires. 11� No.of Recessed Luminaires No.of Cell.-S (Paddle)Fans No.of Total u�• Transformers KVA G1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA n Above In- No.of Emergency Lighting k No.of Luminaires Swimming Pool grad. ❑ gird. ❑ 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 c Initiating Devices 11.f No.of Ranges No.of Air Cond. To l No.of Alerting Devices No.of Waste Heat Pump Number Tons (KW No.of Self-Contained Totals: .. �` Detection/AlerDevlces No.of Dishwashers Space/Area Heating KW Local 0 Conn 0 Other No.of Dryers Heating Appliances KW pp No,of Devicess.or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Wilting: 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 0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of per)ary,that the infornnahfon on this application is true and complete. FIRM NAME: EL lker t•le ..k ,c.- 6-nr.nPn .a LIC.NO.: A 11 l 4 i Licensee: L.O,,f\C t'_ YY lc ca in e cn a Signature_ LIC.NO.: (/f applicable(enter"exempt"in the licenseqfumbi r l' Bus.TeL No.;l Y ')1 Z s'OO SO Address: Ian A 1 d re(in.oritfP \61.)..+�1 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requireDepartment 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 100.00