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Home My WebLink AboutBLDE-23-003679 #235 o' . Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003679 a m BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked lRev.1/071 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:1/6/2023 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: Install 20 amp circuit for electric fireplace.(UNIT 235) 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. Tot l No.of Alerting Devices 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 1 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 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$80.00 Official Use Only ►i -i-2. ,... ?, 2 0/eparintsni Permit No. E. :i i" BOARD OF FIRE PREVENTION REGULATIONS [Rev ue aOccupan Fee Checked �� - (l(l eave blank) ti APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 I 3 3 City or Town of: \d'A rM vu h To the htspebtor of Wires: ' ) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) ,�3,7 fJ fit,,,A St t jv,,+ c 35 qi Owner or Tenant Telephone No. Owner's Address S Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 0 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters .J New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: L j„t,� 2Oa p (,1,l L,-1/4,.T J p c L 1�,� L", - k f z e kCe, o c jA i <<.t Qtt, bse.ker --I-n A Ize4.w t-I-. v Completion of die foilowin&table'be waived by the I of'fires. Total Li) C No.of Recessed Luminaires No.of eil.-Susp.(Paddle)Fans Transformers KVA c! �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ern& ❑ g. ❑ Battery Units �� No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Uses f No.of Switches No.of Gas Burners No-I I nnitiitieteating and gea Devices Total 11-1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Heat Pump Number Tons KW — No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 sse 0 Other No.of Dryers Heating Appliances Kam' Security * of Device,or Equivalent No.of Water , No.of No.of Data Wiring: Signs Ballasts No.of Devices or ' ,• 1 - t No.Hydromassage Bathtubs No.of Motors Total HP T No.of Devices or Eq OTHER: Attach additional detail tf 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 tbe 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 ❑ (Specify:) I certift,under the pains and penalties ofperjrry,that the information on this application is true and complete. FIRM NAME: Fu Iles E Luc I ct c_ ('_c M(ktnY LIC.NO.:A i/( i Licensee: La Fl 0t l PCf'it[(n aj` Signature LIC.NO.: (If applicable,enter"exempt"in the license nrbnber line) Bus.Tel.No.: 5J - Ti S.dc 5) 2I)Address: t t o m i d T eL i 'ki\I \ia,(rvie:..,t-k. 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 Signature Owner/Agent Telephone No. I PERMIT FEE:5 (0.6d I i