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Home My WebLink AboutBLDE-22-001983 #339 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-22-001983 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:10/6/2021 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: Renovations to UNIT#339 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 Q ,/ KVA � No.of Luminaires Swimming Pool Ab ❑ In- ❑ No.of Emerg• c tin � grnovc d. grnd. Battery Unit )11 No.of Receptacle Outlets No.of Oil Burners FIRE ALARM i0 o 0 No.of Switches No.of Gas Burners No.of Detection an, 4404:82. Initiatin¢Devices Q No.of Ranges No.of Air Cond. Tot Tonal No.of Alerting Devices O No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Ot • O 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 Siens 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$80.00 Commonwealth o/Mewaaluceett6 Official Use Only i /, a[Jeloar�ment o�}ira�ervice i Permit No L^L�- ' "� �Sj•` . BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] (leave blank) and Fee Checked .�.- _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: IN k I ,t0.4 --i- City or Town of: '1°C K' be;a 'IN To the Inspector of Wires: ;J By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 0 Location(Street&Number) ,‘ °� 1 i \&t E t LA t1 t t 3 jy ;" Owner or Tenant �j 7,J (��a`v�;C.asc� � 1C',,c.r__. Telephone No. '; Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Cheek Appropriate Box) (j j Purpose of Building Utility Authorization No. ) Existing Service Amps / Volts Overhead_ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Li' Number of Feeders and Ampacity ILocation and Nature of Proposed Electrical Work: 8Re:t„6,,,,xi-tC tl '$"to L,,r,,i-}- oc, ST' Completion of the followingitable may be waived by the Inspector of Wires. iL No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA a+ No.of Luminaire Outlets No.of Hot Tubs Generators KVA ivy st No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units �a 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 11J No.of Ranges No.of Air Cond. Tonsl 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 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 Telecommunications Wiring: No.of Devices or Equivalent O THER: 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: FJ I t C E=I e_ck c Ir e_ Cou v cx:Yi y _ LIC.NO.:fi 111 L Licensee: L aivi:t'. I'1('\C1/4 - _ii 0r-1 4: Signature LIC.NO.: (If applicable,enter"exempt"in the license numbelr line). Bus.TeL No. c ')7 7 V C'C 30 Address: i)4t\ al i O IC- )do V\ \1Lt(Pilo t.Cft\ alA C C6, L Alt.Tel.No.:L *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)❑owner 0 owner's agent. Owner/AgentPERMIT FEE: $ 3 L:SignaturetuneTelephone No.