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Home My WebLink AboutBLDE-23-000747 Commonwealth of Official Use Only t Massachusetts Permit No. BLDE-23-000747 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:8/15/2022 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) 519 STATION AVE Owner or Tenant DAVENPORT DEWITT P TRS Telephone No. Owner's Address 20 NORTH MAIN ST, 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.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: Remodel1120 Square feet,replace 136 fixtures, &add dimmers. 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 136 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 Water No.of Devices or Eauivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devices or Eauivalent 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 Macenemey 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 *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)) 0owner 0 owner's agent. Owner/Agent Signature Telephone No. I 'PERMIT FEE:$300.00 , .. 1l yy� AConrnanwaa[th o////aueac/i.tube Official Use Onl —t c-� Permit N �--''u --0i7 1" • 1Japa,tinani oil.ta+s�ervicso BOARD OF FIRE PREVENTION REGULATIONS [ 7)y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 j (PLEASCi PRINT IN INK OR TYPE ALL INFORMATION) Date: 3(q j a a ` City or Town of: `IOdienou 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) 5j 1 C .t'(0.TIt- (*l Alit, LOwner or Tenant DAB Res44. Telephone No. .-�; Owner's Address Do N�n �� `,cm0�- �i Is this permit in conjunction with a building permit? " Yes 0 No ❑ (Check Appropriate Box) Purpose of Building 0_451Y\(}l ec ko-1 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters J1New Service Amps / Volts Overhead 0 Undgrd El No.of Meters Number of Feeders and Ampac ty Location and Nature of Proposed Electrical Work: Retrotki 1120 . Ckt11 e O 1-6fa t,i A-- °I nsf a.t t d't ty,r y e r 9 ` h � �`i`�5 Completion of the followinktable m y be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans No.of Total Transformers KVA ram; No.of Luminalre Outlets No.of Hot Tubs Generators KVA No.of Luminaires g � pal Above In- No.of Emergency Lightingg Cud. ❑ 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 4 No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number. Tons KW No.of Self-Contained Totals: Detection/Ale Devices No.of Dishwashers S ace/Area HeatingMunic P KW Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water _ No.of Devices or Equivalent Heaters KW No.of No.o� Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin 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: 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 0 OTHER 0 (Specify:) I cenlfy,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: 'u 11er j d .4r;4 C 0 M Va1\l! LAC.NO.: A 111 v9 Licensee: ',Axe mac E_nerne Signature Tj ) LIC.NO.: (If applicable,enter"exempt"in the license line.). Bus.TeL No.: 508-77 S-C)O3 O Address: � , A YY1 i cY, -t r VI. a( O u Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires t 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 Na. I PERMIT FEE:$ 06. ) c