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Home My WebLink AboutBLDE-21-000796 ..,; orCommonwealth of Official Use Only flph ��.� 1st Massachusetts Permit No. BLDE-21-000796 li 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:8/18/2020 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) 232 PLEASANT ST Owner or Tenant Alan Leventhal Telephone No. Owner's Address 232 PLEASANT ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropri �� Purpose of Building Utility Authorization No. /v��J Existing Service Amps Volts Overhead 0 Undgrd 0 : ► ete ff& New Service Amps Volts Overhead 0 Undgrd ❑ s fT 21 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of low voltage alarm system. /J 8 /I. Completion of the following table may be waived by I s • tires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers K - No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- CINo.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 0 Municipal ❑ 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: Heaters Signs Ballasts 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: Allan R Bartlett Licensee: Allan R Bartlett Signature LIC.NO.: 1542 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 143 PRISCILLA DR, PEMBROKE MA 023593558 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 N PERMIT FEE: $45.00 l' S U i�-( C 01/11<1 - CA c ry 114 7/2'0/z-if,., , {.oinmonweaLtla o� a3�acisc�eit3 Official Use 0 C�r — '' - �i C'�ri c� Permit No. L- ( (-P ' r�l� 2epartinent of Sire Services Occupancy and Fee Checked �O '''s-.,_Z,,..-i7 roBOARD 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 IN (MEA),527 CMR 12.00 7(PLEi ASE PRINT INK OR TYPE ALL INFORMATION) Date: /i/2,��yCity or Town of: fin& II) To the Inspector of Wires:By this application the undersigneves notice of his or her intention to perform the electrical work described below.- Location(Street&Number) ,:, ,3a )fr° y5 f(S A /arm 6 L d-ij fY2,g 6;7) o6.Y Owner or Tenant 0/ 9 ef ,Shyer Zit)eaJ71 ,Telephone No. /7 73 9-//66 Owner's Address I /ne Rd 0/etiJj n e Is this permit in conju tion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 11,5k-ten/Jai Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead(1 Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 62 sia. ia ilex) U 1 /6(,v- v41 f 0,P &r Completion of he followin.table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof T Transformers KVAVA • No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Batters+Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices _ No.of Ranges No.of Air Cond. Total No.of AlertingDevices _ Tons No.of Waste Disposers Heat Pump Number Tons .KW No.of Self-Contained - TotaIs:_ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Connection Other HeatingAppliances 'Security Systems:* No.of Dryers pp KW _ No.of Devices or Equivalent No.of Water KW -No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent _ OTHER: IoW V o I laae� 1 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: g/pi/2O 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 En BOND 0 OTHER 0 (Specify:) �juf I certify,under the pains and penalties of perjury,that the information on its pp ice ion is to and complete. FIRM NAME: &15(D Jeccul y. Liac LIC.NO.: )5Liac Licensee: Qone ici idri-j,it- Signature LIC.NO.:069o2D (If applicable,enter" Tempt"in the license nu bei line.) Bus.Tel.No.:-/N- 'l'l 11/676 Address: 1'-L 3 ✓t'SC i I I Gt Qi J tifOkSl 1-11,q : /},;.3,f 9 Alt.Tel.No.:7gj-ARN 44/60 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. aYU-On()yyi 9 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ L/So