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Home My WebLink AboutBLDE-21-006749 #28 Commonwealth of Official Use Only Permit No. BLDE-21-006749 Et—. ,I 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 perform 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 Apriate Box) Purpose of Building Utility Authorization No. / Existing Service Amps Volts Overhead 0 Undgrd 0 ,(4 o. t }• rA New Service 200 Amps Volts Overhead 0 Undgrd 0 Z) ' ' .. ilf-4/17 A. Number of Feeders and Ampacity II' Location and Nature of Proposed Electrical Work: Upgrade service .r . PO4 QCompletion of the following table may be waiIli of Wires. No.of Recessed Luminaires No.of Ceil: No.of Susp.(Paddle)Fans Transformers 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 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/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 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 82424 (2- 0 A Commonwealth 4 Maddachtiait Official Use Only ryes -ficc�� C� Permit No. � 407149 _ _ski==== 2epar vient ol..cc77 ire Serviced ,, !F-_=5 Occupancy and Fee Checked .� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 5► I,A a4 City or Town of: Nal i cu.k 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) (� WarA eanvoq R Map Parcel# 3 3/ :3 7 y I ! Owner or Tenant -Ita S P-; ,n Ingo (d Telephone No. Owner's Address 1 t a SO tik Sko re_ Dr- S.\ick v(✓►i,o u' k Is this permit in conjunction with a building permit? Yes ❑ No [g (Check Appropriate Box) Purpose of Building C"e 5,d Utility Authorization No. Existing Service .Q0 U Amps / Volts Overhead❑ Undgrd D No.of Meters New Service 90() Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: la p c car( ve O Sof e0.At �1 ed,-r'i C, Se`(V 1 c..L. t('Q(ad; fl old uipfr 1E -ore• PPE Completion of the following table may be waived by theInsspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pooi Above In- No.of Emergency Lighting g crud. ❑ arnd. ❑ 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. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: "�"'�"'y"W"" Detection/Alerting Devices cip No.of Dishwashers Space/Area Heating KW Local 0 Mui 0 Other Connection No.of Dryers Heating Appliances IVVSecurity Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent OTHER: Attach additional detail if desirec4 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 cove age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE glifi BOND 0 OTHER ❑ (Specify:) I certify,ander the pains and penalties ofperjury,that the information on this application is true and compel n FIRM NAME: Fk( tcr 1 ec k-v-,C 0 O(q tly LIC.NO. I.I1 Lrl Licensee: La Ode I C4E.Ile(r re Signature .. - LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:5615-11S----‘Do 3O Address: 1 aro 1 m;d t�c-h, ' ,r- ki,VQ I(Mo L R'1 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 10 a v *IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FI3 having iuricdintinn.