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Home My WebLink AboutBLDE-23-003520 barber shop Commonwealth of Official Use Only Massachusetts41-6t- III Permit No. BLDE-23-003520 16 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:12/28/2022 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) 1070&1074 ROUTE 28 (110.3 ii 3,ite1302 S;i P, Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address 20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ 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: Replace fixtures w/LED, add circuits for barber shop. 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 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 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: 12/23/2022 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 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 my 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: $100.00 .. '(I 2,12 A/AL_ e n(2. ./z3 -. NI" �4 ( Uirit 4) 6P11(9, K AConmonweecii ol Modacituddits Official Use Only c� cc�� {� j ?r Apartment of° ir,i J Permit No. t:L3 -,3 Z u "- _ arwsts!i BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked ` [Rev. i/0T) Oeave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 4) All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 13( <--)- v City or Town of: etaY►pukk\ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. )) Location(Street&Number) MQB$ e 2 4 Owner or Tenant an poc4 P)U c irn Telephone No. bOwner's Address a f Is this permit in conjunction with a Yes Q No 0 (Check Appropriate Box) Purpose of Building tl {'t"Yl 1>\'e.(C,..i : _Utility Aathorizatlon No. d ; Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters it)J New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 1 1Number of Feeders and Aespadty Location and Nature ofProposed Electrical Work: keviaeC, 4i xkULre..6 40 LE ) Add Q tCc c , 'Z,-eta- •sh3 f) Nrt VI Compktion of thefollowing_tabk may be waived by the lrofWires. of Tottl t No.of Recessed Luminaires No.of Celll.-Sasp.(Paddle)Fans T&rao:formera KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming;Pool Abovewad. ❑ Irnd. ❑ A U mergency 5 I No.of ReceptacleOutlets No.of Oil Burners FIRE ALARMS No.of Zones , z I No.of Switches No.of Gas Burners No.of Detectionand Initiating Devices 1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Ids Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Cit=on 0 Other No.of Dryers Heating Appliances KW Security Systems:* or 'valiant No.of Water , No.of Ba llasts fts Data Heaters K Sii No.of Devices or ' . - No.Hydros age Bathtubs No.of Motors Total HP T Nee of Devices or : . I - OTHER: Attach additional detail If destre4 or as required by the Inspector of Wes. 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 Q BOND 0 OTHER ❑ (Specify:) I certifr,under thus eGTr and penalties of perjury,,that the information on this application is tore and complete. • FIRM NAME: f—u.11 er L I i C `J)on,pa fly LIC.NO.: Al// tin Licensee: Lan et_ a1Qc Fr)r'pine 1 Signature e _ LIC.NO.: (If applicable.after"exempt"in the license member line.) Bus.Tel.No.: 5OK-T?5-00 SC I Address: G,f1 ON kJ- Te . low ; , r, t 1,.: >', ' ' Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work 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:S WO,Co i