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Home My WebLink AboutBLDE-22-006959 i Commonwealth of Official Use Only -;:-�_• Y..__ ;'fin, ,I Massachusetts Permit No. BLDE-22-006959 %' 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:6/2/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfA-1..A.-(\J the electrical work escribed/ � A below. Q riV Location(Street&Number) 232 PLEASANT ST E Z Owner or Tenant d;1446(. ) Telep $14 , Owner's Address 232 PLEASANT ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec 1 oO •t Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.ofg 0 84P New Service Amps Volts Overhead ❑ Undgrd 0 No.of Me AN _ Number of Feeders and Ampacity I ,.) Location and Nature of Proposed Electrical Work: Landscaping wiring trench 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 0 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 El 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 Ballasts Data Wiring: Heaters Signs 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 Macenemey Licensee: Lance A Macenerney Signature LIC.NO.: 11 149 (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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. ,----"e— Owner/Agent Signature Telephone No. FERMI FEE: $80.00 • R E C E 1. 0 C Rh hua fficial Use Only ommonwaa "raaeac she i+ n cc�� c�77 , Permit No. 2Z" �1 V x j �[.lepartnwnt o f Jire Services 1;=:�1 Occupancy and Fee Checked BUILDING DE • ' 'V,� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) ,• EN'" LICATION 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 - City or Town of: \I t(i,c L ut i'\ To the Inspector of Wires: By this application the undersigned dives notice of his or her intention,to perform the electrical work described below. Location(Street&Number) 9:2)0 P LioL`,C,c,\ l>r Owner or Tenant A_(.Scl )t Vi,.h 7-,c3. ( Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) f Purpose of Building Utility Authorization No. 3 Existing Service Amps / Volts Overhead C Undgrd El No.of Meters G New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters j Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (ckod 5c .e 1 c L!-\c, tic V` .k t VI Completion of the following table may be waived by the Inspector of Wires. iii No.of Recessed Luminaires No.of Ceil.-Sns .(Paddle)Fans No.9of Total p Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- 1 0�.of Emergency Lighting - No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units � No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 6=.l No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers �Tottallums umberTons Detection/Alerting ction/Alernting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipalonnectio n 0 Other C No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 'No.of No.of Data Wiring: ' Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or quivalent 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 certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: Fiji l 1t( E j e,_ -r (1 b rri cocki\4 LIC.NO.: 'I j 4 9 Licensee: ` ,— -- ____ Signature LIC.NO.: _ (If applicable,enter pt"in the llicense number line) L� Bus.Tel.No.('u�` ) 17 S--0 0-'3 Address: J)l al,el Tech I)( Qr&(P 6 i.�l tr1 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work(requiresDepartment 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ � Signature Telephone No.