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Home My WebLink AboutBLDE-23-004223 cf. teNti Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-004223 .....' 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:1/30/2023 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) 546 HIGGINS CROWELL RD Owner or Tenant BENGER KEVIN TR Telephone No. Owner's Address THE K2 REALTY TRUST, 143 POND VIEW DR, BREWSTER, MA 02631 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro akeBo7/ Purpose of Building Utility Authorization No. F-., 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 rt� Location and Nature of Proposed Electrical Work: Wiring for doweler.(RELIABLE FENCE) Completion of the following table may be waived by4he Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA y 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 ❑ 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 1 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 /� Q �///� / Official Use Only _ (rommonwaanh o f Mamachuse�a �` rn� 2 Aft: try�, c'] Permit No. F �7 : —J it _ , .Department o/_}ire Seruicee 411 Occupancy and Fee Checked '= BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: 10b 1;3 City or Town of: To the Inspector of Wires::By this application the undersigneyevryNpuili gives notice of his or her intention to perfoorml the electrical work described below. Location (Street&Number) 55Lko 1-4i c AS CrO Lo�(( Ka` 13 � tOwner or Tenant c O.Oe_, T�Ce �(_p. O.c 6 ee 0_0d Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead ri Undgrd I I No.of Meters New Service Amps / Volts Overhead❑ Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wt (68 ( ,to Dowejejc Completion of the followin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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 Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices e,No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water KW Ro.of No.of Data Wiring: Heaters Sim._. Ballasts No.of Devices or—Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H y g 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. ) FIRM NAME: F..(Ie( E (ecv�,C. CDMp0.11Y LIC.NO.: ill iR Licensee: I...ahce kn C l -ievey Signature LIC.NO.: (If applicable, enter "exempt"in the license number line.) ,j+�',, Bus.Tel.No.: 56(C�7�5 dO Address: I.0(0A r(V.el Or J. CIOYl0(L Alt.Tel.No.: • *Per M.G.L.c. 147,s.57-61,security work requires epartment 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 PEE: $ �� Signature Telephone No.