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Home My WebLink AboutBLDE-20-006142 te\i Commonwealth of Official Use Only tiph Massachusetts Permit No. BLDE-20-006142 --- 17°'"'" �, /,-1 ARD 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:6/9/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) ----248 PLEASANT ST o?c3,Z Owner or Tenant Telephone No. O / Owner's Address C/O ALAN LEVANTHAL,200 STATE FL 5, BOSTON,MA 02109-2628 ,� Z.4Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec • y:/ 1 . is • �i o Purpose of Building Utility Authorization No. ' , Existing Service Amps Volts Overhead 0 Undgrd 0 No. ] •tas I ib New Service Amps Volts Overhead 0 Undgrd 0 No.of •ter,w a'`u. Number of Feeders and AmpacityIr4Plakt. Location and Nature of Proposed Electrical Work: Data/Comm wiring Completion of the following table may be waived by the Insp • 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 Initiatinc 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 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 Data Wiring: 10 Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 10 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 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: $45.00 1A (GR•t� CC EC EA) 63(tri So yr (\OL 9r� gp 8 - /`p u 6 i/ 0-1C .&='---A 2_ _ X97- Zea32 Fit22- / Commonwealth o`Ma iiachtiiettc Official Use Only r, t Permit No. ��554--i—Z-- L7.. W Z_ ¢ �! .2epartment o/ ire Serviced lf _-e" 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:6/1/20 City or Town of: 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)238 Pleasant Street,South Yarmouth, MA 02664 Owner or Tenant Beacon Captial Partners Telephone No. Owner's Address Same as Above Is this permit in conjunction with a building permit? Yes u No n (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ UndgrdNo.of Meters _ New Service Amps / Volts Overheads Undgrd_ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans ToTot Transformers KVA No.of Luminaire Outlets No.of Hot Tubs • Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grnd. I I 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. InDeteand Initiatinnggon Devices Tot No.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 No.of Dishwashers Space/Area Heating KW Loca[Municipal uOther I 1 Connection HeatingAppliances Security Systems:* No.of Dryers pp KW No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent /0 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent ,e) OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: '/ �0 (When required by municipal policy.) Work to Start: 6/2/2020 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 -4 OTHER Specify:) I certify,under the pains and ties of p that the mation on this application is true and complete. FIRM NAME: Advanced Network Connections, Inc. LIC.NO.: Licensee: Scott Dalton Signature LIC.NO.: (If applicable.enter "exempt"in the license number line.) Bus.Tel.No.: Address: 166 F3�oa �l?1d Strect North Eton P Alt.Tel.No.: *Per M.G.L.c. 14 ,s. security w6rk requires epartinent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability-prancege normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's agent. Owner/Agent Signature �io 1-16.°0 Telephone No. PERMIT FEE: $