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Home My WebLink AboutBLDE-23-000578 liquor Commonwealth of Official Use Only triMassachusetts Permit No. BLDE-23-000578 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:8/4/2022 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) 1070&1074 ROUTE 28 Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address 20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664 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 r Location and Nature of Proposed Electrical Work: Replair or replace lighting o ;`, ' 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 KVA No.of Luminaires 3 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. TTotal No.of Alerting Devices n 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 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 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 ` J (t-k kz Cowrionwraltli el Massachusetts ilk Official Use Only ,• - 'I Permit No. --657 6 - alpa.G„nt el.7ln.Seri Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C All work to be performed in accordance with the Massachusetts Electrical Code(ME5),527 CMR 12.00 C.) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (V Zia ID a` oJ`' City or Town of: Oh To the Inspector of Wires: lir MBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street tit Number) tog() Qti_ a R Owner or Tenant S.eq, S-i('.1 p(0.? ) Telephone No. 3; Owner's Address CI this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Q1 Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters el New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters p, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: •to..,P lxo p/ Eepot1 c pie,t r19 4- Ce p ►f(Ce. L4 \ ieeh4 6r\ CO& may Completion of thefoilowing.tablebe waived by the Inspector of Wires. ,;, L!? No.of Recessed Luminaires No.of CeIL-Sussp.(Paddle)Fans No.of Total t',1 Transformers KVA �, No.of Luminaire Outlets r1 No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grad. ❑ 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 Alerting Devices Tons No.of Waste Disposers Heat Pump Number_Tons KW No.Det of Self-Contained vices No.of Dishwashers Space/Area Heating KW Local 0 C un�n 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of e uriityof Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent TNo.Hydromassage Bathtubs No.of Motors Total HP eUNo of Devices orns Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desirecZ 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 of pedury,that the information on this application is true and complete. FIRM NAME: Ku 1 I er Fe-f rk L LIC.NO.: Ailii i(/9 Lane Ane cru ne(t1e,i Signature ,' LIC.NO.: (If applicable,enter"exempt"in the�iic`�ember(line.) `I 1Bus.TeL No.: 506-715'00 3e. Address: (a(o jt ' td- T ` r' We., `f Li f M O -k Ait.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 I PERMIT FEE: $ Signature Telephone No. ELECTRICAL INSP. DATED: AUGUST 4, 2022 NAME: LOCATION: E#: TYPE: STATUS: Ievgeniia Gubata 8 Skyline Drive E22-6875 Solar Jeffrey Wright 368 Forest Road E22-6894 Rough Jeff Burke 11 Whiffletree Road E23-0569 Rough Maria Baltazar 11 Massasoit Road E22-7062 Final Olaf Weidhaas 79 Webster Road E22-7063 Hot Tub Sand Dollar Customs 24 Easy Street E23-0198 Trench Alberto Maitino 84 Homers Dock Road E23-0218 Grounding Charles Neves 9 Eriks Path E22-5396 Boiler&W/H Jason Bernardo 93 Captain Bacon Road E22-6352 Final Y(I—7 — 2232