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Home My WebLink AboutBLDE-22-001367 Commonwealth of Official Use Only , .416,10, Massachusetts Permit No. BLDE-22-001367 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:9/9/2021 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) 232 PLEASANT ST V ? 4( Owner or Tenant Telephone No. Owner's Address 232 PLEASANT ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec ` ` "'`t.`" Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 . .. New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for garage,attic, &service. 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Municipal Local 0 Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Lance A Macenerney Licensee: Lance A Macenerney Signature LI NO.: 11149 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 126A MID TECH DR,W YARMOUTH MA 026732560 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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)) CI owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$180.00 I Carr.6e_Q.6,, ,,,,,s 9/134, Kg._ / lw‘Ared-ogto ,......- 11 -NA e(3/ (--tz, aJco C s.. j r tZew1R 6r Niti-(ra 'ry %D 1 i',ta.... , z I fie Z �' �9�'2 I�(IU� �O� — " 2-f > l 7S&Wlc s/,/ - . , A)ftC F 12fi c_ 1 Commonwear 0/Maeeac/.we tie Official Use Only J. ,fir Permit No. it an ,, `)spartmeni e 1'ire Serviced r, BOARD OF FIRE PREVENTION REGULATIONS [ Occupancy and Fee Checked .,,,, . Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK as 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: (1 ( 7 I D - City or Town of: Yqrmot,,.1-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) 02.1 a Pi easal11- 5 f y Owner or Tenant Alan Le y en it--o`( Telephone No. Owner's Address C1 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. IP Existing Service Amps / Volts Overhead v; ❑ Undgrd❑ No.of Meters J New Service cOo l) Amps 1 70/ 2'iOVoits Overhead ❑ Undgrd® No.of Meters r Number of Feeders and Ampadty w Location and Nature of Proposed Electrical Work: Lt t cc. cla Q ci f, .4- Q if;e_ -1-- 5 e,,v i(;e, Completion of the following table may be waived by the Inspector of Wires. ,1/411 tft No.of Recessed Luminaires No.of Ceti.-Soap.(Paddle)Fans No.of Total CZ Transformers KVA "' No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units "z No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices IQ No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I Number„I Tons 1KW No.of Self-Contained Totals: .."" f Detection/AlertingDevices No.of Dishwashers Space/Area HeatingKW Municipal p Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Securlity Systems:* o.o a er No.of Devices or E uivalent Heaters o.° o.o KW Signs Ballasts Datao.Wiring: Devices or nivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Egaiv 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 , f BOND ❑ OTHER 0 (Specify:) I cerdfy,under the,Pains and penalties Afpedury,that the information on this application is true and complete II FIRM NAME: tu,t�� - E I,.d -lC. CO i pony LIC.NO.: T1 ( ( l 4 Licensee: La no r, r(1QC En er ne V Signature r (If applicable,enter"exempt"in the license number line.) LIC. Address: .Tel.No.; 5L?$-Z 1 S-O030 *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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I It 0.00I