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Home My WebLink AboutBLDE-21-002417 guard shack Commonwealth of Official Use Only 4\ Permit No. BLDE-21-002417 ro E 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:11/2/2020 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) 237 NORTH MAIN ST Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664-3150 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: Wiring of guard shack building. 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- ElNo.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 ❑ 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 Siens 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 ❑ 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 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 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: $160.00 21�ia( a u +(( w ft i;(mk,7iii6ieg.--- i. r Lornrawrzwealnn�oi��/q�� addac ettd h. Official Use Only c� c7 �7 Permit No. l_.. Apartment of Jipe Serviced Occupancy and.Fee Checked BOARD OF FIRE PREVENTION REGULATIONS EGULATIONS [Rev. 1/07] (leave b12n10, t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORNLITION) Date: I b i 291 Zo City or Town of: To the Inspector of Wires: By this application the undersigned gges notice of his or her intention to perform the electrical work described bey w. Location(Street&Number) 2 3 9 /iC rfh iki n Map Parcel# 94i/ Owner or Tenant i a Iferl ,r-f- D kJ - Tiks I. (Ai rh(06( Ph )Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)of Building 9,�.c .a YYas✓ Utility Authorization No, Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L t2`e.. 9 LtLt re p�v1Ci h1.i ��i Yel,,� Completion of the following table may be waived the Inspector of Wires. g. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans hEt Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA oi No.of Luminaires Swimming Pool Above ❑ In- No.Of Emergency Lighting rnd. and. ❑ Satt$rq 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 Total No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 Tons I KW No.of Self-Contained. Totals: i Deterion/Alertmg Devices No.of Dishwashers Space/Area Heating KW Mu icipal ❑ Connection ❑ er No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofNo.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No Hydromassage Bathtubs No.of Motors Total HP Teleoommatlieations W OTHER: No.of Devices or Equivalent ' Estimated Value of Electrical Work: Attach additional detail tf desired,;or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) " Inspections to be requested in accordance with MEC Rule 10,and upon completion. F INSURANCE COVERAGE: Unless waived by the owner,nopermit for! the licensee provides proof of liabilitythe performance of electrical work may issue unless undersigned certifies that such coy ge is in insurance including has`exhibited proof f same to the permit issuing officcompleted operation"coverage or its substantial ceemvalent. The CHECK ONE: INSURANCE 5BOND I certify ❑ OTHER 0 (Specify:) ander the pains and penalties ofperjury;that the information on this application is true and complete. FIRM NAME: t- Et -C Licensee: (i et LW.NO.: m 'ti'�Ch� Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: Address: ti 6 ') Bus:T.el No.: D8"`1_____ *Per M.G.L.c. 147,s.57-61,security work requires De afety" „ Alt.Tel.No.: License:OWNER'S INSURANCE WAIVER: I am aware that the Licenseeoes not havethe liabilityLin.e co. required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owneroveraw normally Owner/Agent ❑owner's nt. Signature Telephone No. PERMIT 166,Or)