Loading...
HomeMy WebLinkAboutBLDE-22-001732 #318 s - \p Commonwealth of Official Use Only 4 a'. ;t \ Massachusetts Permit No. BLDE-22-001732 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:9/27/2021 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 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: Renovation ' Completion of the following tabl a -0 b9 V.V1119e. or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of tal Transfor 4 3 No.of Luminaire Outlets No.of Hot Tubs Generators O No.of Luminaires Swimming Pool Abovegrnd. ❑ In- ❑ No.of Emergency O grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.o No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices O No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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: 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 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 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: $80.00 L tke-2,7, f Commonurea/tL oil Maaaachueefte Official Use Only r A 4"/ e arfmsnt o/ �' Permit No. Wim- -1173 ','0 p Serviced 1{-~ Occupancy and Fee Checked + BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 4. (PLEASE PRINT IN INK OR TYPEALL INFORMATION) Date: q t3(1 i `.) Cityor Town of: To the Inspector o fres: [��i'Y°+C����In P f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&–Number) 13 7 14, rc��y\ S t L,A; 4 hj f A Owner or Tenant—lin r 6 6 a p vs,,, Telephone No. cul _i Owner's Address _1_-) Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) ..1� Purpose of Building Utility Authorization No. (a Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters u I New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty CD Location and Nature of Proposed Electrical Work: iZeif1t"1 VA.4-:; 0AS --(--© un t 0c vl Completion of the followinktabk may be waived by the Inspector of Wires. 4,1 No.of Recessed Luminaires No.of Ceti.-Sas (Paddle)Fans No.of Total Transformers KVA • ! No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- Ivo.of emergency Lighting vt No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units `J No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.ofn Detectionngand `a Initiating Devices 1 No.of Ranges No.of Air Cond. Tans No.of Alerting Devices No.of Waste Disposers Heatamp Number Tons,,,,,_. KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW 'mai 0 Mounic nneipalctTion 0 other, C No.of Dryers Heating Appliances KW No.'Security ms:* 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 Total HP TelecommunicationsNofDvicsoW No.of Devices or Eq�ent , 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 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Fu 1 ke° E1echrt C 014V1 LIC.NO.: A l 11 49 Licensee: 1._Coil C'e m f)1 e(y)e y Signature c - LIC.NO.: (If applicable,enter"exempt"in the license number'line.) Bus.Tel.No.:64 5 -7 7 _'"Ov3 a Address: Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department 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 PERMIT FEE:$ Signature Telephone No.