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Home My WebLink AboutBLDE-23-006100 Official Use Only 4/ 2'' Commonwealth of ' ` Massachusetts Permit No. BLDE-23-006100 y 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:5/5/2023 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) 94&98 STATION AVE 67r 15/l74 `r Owner or Tenant ROMN CATH BISHOP OF FALL RIVER Telephone No. Owner's Address CIO ST PIUS X PARISH, CLARA ST,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch rop 411.tPi Purpose of Building Utility Authorization No.Existing Service Amps Volts Overhead ❑ Undgrd ❑ o � ��r New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity Q 0 Location and Nature of Proposed Electrical Work: Remove lighting panel&install sub panel&dimmers.(St.Pius Ch Completion of the following table may be waived by • tor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of �� : i tal 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 Initiatine 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/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eouivalent 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 Macenemey 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. Owner/Agent Signature Telephone No. PERMIT FEE: S80.00 Commona/ealil2 0/ l'Zaaiachadetio Official Use Only — es c� �7 Permit No. �l3 —(O C �O o 2oparImenl of ire Jervice9 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),5 7 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 e �3 City or Town of: ya(rnou fh To the Inspector of Wires: By this application the undersigned gi es notice of his ilp r her intention to perform the electrical work described below. Location(Street&Number) 5t A U.S SC (3,t't sk Owner or Tenant 5 o,((ar& 5+ � Telephone No. Owner's Address 06'Q • 16)6 Is this permit in conjunction with a building permit? Yes n No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: goes L.fiOA Ha.1(/ •fo1e areo- (mac-kfOorll la Qien o(e. (igh4mng eon{ro( pne` + eors+rot panel �w;4-clir.� , .Lnsta.ita sabpar►�( -D:•►„ r Completion of the followin&tale may be waived by the Inspector of Wires. ' Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans To. f Trano KVAsformers 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 of No.of Switches No.of Gas Burners No. InDete and Initiatinnggon Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent 1 No.of Water K�1 No.of No.of Data Wiring: Heaters Signs 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE grg BOND ❑ OTHER ❑ (Specify:) I certify,under the ains and penalties of perju ,that the information on this application is true and complete. FIRM NAME: }Miler E lec'T(t C Cd m pa1�y LIC.NO.: A ///SlY Licensee: Lance (fl ' n e(rve Signature fir) LIC.NO.: (If applicable,enter "exempt''in the license number line.) Bus.Tel.No.: 50t'77 S 00 30 Address: 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ V,00 Signature Telephone No.