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Home My WebLink AboutBLDE-22-001897 #335 Commonwealth of Official Use Only fE Massachusetts Permit No. BLDE-22-001897 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:10/4/2021 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: Renovations t;`-. Completion of the following table may be waived by the Inspector of 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 C KVA No.of Luminaires Swimming Pool Above d. 0 In- ❑ No.of E ��'.• c, i C grngrnd. Battery Un . / No.of Receptacle Outlets No.of Oil Burners FIRE ALA' ' ► ,�� y No.of Switches No.of Gas Burners No.of Detection an 4 Q lnitiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices4p ?, No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: DeteFtion/AlertinzDevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Connection , No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: 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 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 lomnwnwealh of niaeachueettOfficial Use O n . __ . Permit No. l"I 97 n ` r2spartessai of tira Jaruicesal ' 11 " Occupancy and Fee Checked Vii;. 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(M ),IM527 CMR 12.00 ._.1... (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11Q , 4.) City or Town of: 'k �( U i ii 4 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 'i- Location(Street&Number) 2 3 7n K. M&y S't lin-11- 33E Owner or Tenant i (yJ 6,d nate, Telephone No. co Owner's Address ? -) ' Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters U New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters eNumber of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work: QZ°hni�4�•{-st c:9AS "4-, Lin 1t" or, VCompletion of thefollowin&table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. � Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA a No.of Luminaires Swimming P001 Above In- No.of Emergency Lighting ng grad. ❑ grnd. ❑ Battery Units ` No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones nd No.of Switches No.of Gas Burners No.oIniDetection atinDevicesn I V No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number.,Tons KW No.of Self-Contained Totals: "-'"wµ"""-..— Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Monneunicipalction 0 other, C m .* No.of Dryers Heating Appliances KW NSecurity gyf Devices or Equivalent No.of Water KIV No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsDevices 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the ,,ins andpena�es of perjury,that the information on this application is true and complette.,(� 1 lin FIRM NAME: -r pec. r c C a ►a:1!a LIC.NO.: /r 1114-1 Licensee: Lome f '\4 -Eyl.pale__ Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Wig"711-06 36 Address: *Per M.G.L.c. 147,s.57-61,securitywork Alt.Tel.No.: 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/AgentI Signature Telephone No. 1 PERMIT FEE:$ '3'0.06