The URL can be used to link to this page

Home My WebLink AboutBLDE-21-006750 #30 Commonwealth of Official Use Only Permit No. BLDE-21-006750 tst ' AI% 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:5/20/2021 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 electncal work described below. Location(Street&Number) 28&30 WAMPANOAG RD Owner or Tenant INGOLD JUSTIN P Telephone No. Owner's Address 112 SOUTH SHORE DR,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.op•rs New Service 200 Amps Volts Overhead 0 Undgrd 0 No. . • -' )11W Number of Feeders and Ampacity ,, Location and Nature of Proposed Electrical Work: Upgrade servic = • 8 °A417..e. Completion of the following table may az�e iris.. es. No.of Recessed Luminaires No.of Ceil: No.of Susp.(Paddle)Fans Transformers No.of Luminaire Outlets No.of Hot Tubs Generators 4.S 4e0 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 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.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 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: $50.00 qit q-*(24f._._,6 ; • ComvrwnwealtL o/Maadac1 u4eitd Official cUse Only(�nj Y. ' —( 7 �j -r,� c� c7 •Permit No. _ 81l 2)epaPtment o/..tire�erviceo 1� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. UV] (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 INFORMATION) Date: s( (?(off t City or Town of: xnu-+h . 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) '✓t) WiLM pa n rat R Map Parcel# 331374 Owner or Tenant 3t.A.5-(-st r Sh or) i A. / Telephone No. Owner's Address ) i a So•.A.-(-11 Sha re-- n( S •`N/ttcM O LAth Is this permit in conjunction with a building permit? Yes D No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps ,/ Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: upq rade D' -r hear( e.I 4r-t_C_ S eiVi Ce.. tApovra inol o (d ��(( p(her +7 PE Completion of the followingtable may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tr of of KVATotaKYA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- 0 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal 0 Muuidpal 0 Other Connection No.of Dryers Heating Appliances KW Securitys:* NfSces or Equivalent No.of Water No.of No.of KWData Wiring: Heaters Signs Ballasts No.of Devices.or E I trivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications ° I ,: leo.of Devices or Eq 1 , eat OTHER: Attach additional detail ifdesired,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 i.:wing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I cerdfy,under the egins andpenalties ofperjufy;that the information on this application is trtie and comply FIRM.NAME: k t(f AC �>`� %C (c Me0.n'/ LIC.NO.: A(I I Licensee: Land e_ r\e(n e_ Signature LIC.NO.: (If applicable,enter"exempt"in the license number line) Bus.TeL No. .:50 7 l S-CO 30 Address: LD‘A Vi Y1. Tez k n r W,\/a(Mo u, 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 Signature Telephone No. I $ 50.C v I *IMPORTANT. A ssnarats narmit is mini irad fnr the installatinn of smnks dsf rtnrs_Firs Alarm insnantinns ars narfnrmad by the Fn havinn if tricdir inn