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Home My WebLink AboutBLDE-20-004107 Commonwealth of Official Use Only �� Massachusetts Permit No. BLDE-20-004107 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:1/27/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perxorm the electricay ork described below. Location(Street&Number) 232 PLEASANT ST IAL.4t) ` ( T H al-A---- Owner or Tenant Owner's Address 232 PLEASANT ST, SOUTH YARMOUTH, MA 02664 Telephone No. 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: New residence. 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 grade ❑ Irnd ElNo.of E is b�ng >; Battery No.of Receptacle Outlets No.of Oil Burners FIRE AL••' , 7 , e• i No.of Switches No.of Gas Burners No.of Detec L Initiating Dev No.of Ranges No.of Air Cond. Total No.of Alerting Dev, ti Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Containilk Totals: Detection/Alerting i No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Epurvale Heaters KW No.of No.of Data Wirin 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 (If applicable,enter"exempt"in the license number line.) Tel. NO.: 11149 Address: 126A MID TECH DR,W YARMOUTH MA 026732560 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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 ❑ owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE: $180.00 �/ I k.1�, ,. - Woc c x 6 ) qr. CL f� i 57'/• zaP rkJrl.. O� 66/ /ZOO, ��A5fi, C ONDtA.T Iy3Mi •Ta worts' Vv+L1 lia CSIC� ' 71�fpCu(e`STC� /�N /NS/ zz;;: Ec .�►/L� e Cotvtav 6z) sr/rt) EF/rcAo ,e , `nq ( a 4 e n,u �) / > i r t c/77 f2cs -E � t`�e�sstru A Corvm2onwealth o/l'Y/addachatettd Official Use Only = / ` cc77 Perirut No. 20 Li (n7 v � epartment o f.Dire Serviced t 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: I 1 a3 0O City or Town of: Yarnr�p k..4\ To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ,)3a Pt isa i.- S4- Yl Map Parcel# Owner or Tenant A`Q r. L,eV'y 4 ct ( Telephone No. 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❑ Undgrd 0 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: IA.)[AL, tom— 4 Sex V i Ge_ Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of I mergency Lighting grnd. grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices. No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number j Tons KW No.of Self-Contained Totals: I I'"- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection El Other I No.of Dryers Heating Appliances KW Security S_ stems:' No.of Water , No.of No:of ices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W Oi R: No.of Devices or Egniv eat Attach additional detail f 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this.application is true and complete.AA ,i(-1 2.� FIRM NAME: Fu. 1V I.e.c.�riC 0Orn(JAny LIC.NO.: II ill Licensee: Lia re e. ma CEO Berney Signature LIC.NO.: (If applicable,enter"exempt"in the license umber line) 'Tel No.' "it -7 1 003O Address: la10A (Y' 1 a TechOc W,ICCr(md` r \ But. :*Per M.G.L.c. 147,s.57-61,security work requires Dartment of. Public SafetyAlt.Tel.No.: "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:$ ($'Q 061 *IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FD having iuricdietinn_