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Home My WebLink AboutBLDE-22-004650 Commonwealth of Official Use Only t:, 1 Massachusetts Permit No. BLDE-22-004650 ` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:2/22/2022 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 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: Install fire&security system in garage. 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 KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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. Tons Tot No.of Alerting Devices 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:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: 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: 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 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: $45.00 I 20 . 0 3(4( kNA__ -z,1_-- . 14 Conunonwsaa o`Maeeaehuestte Official Use Only • "' c� c�� n Permit No. -"C c:?,D q' . - 1Jspa>�Snt o`.}in Jirrrrest Occupancy and Fee Checked ,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: 1 /z /1i,)0 ,? `-. City or Town of: ilQ/'//,�,),,jJ To the Inspector of rres: By this application the undersign gives lice of his or her intention to perform the electrical work described below. Location(Street&Number) c 3( p1 eas-o 7L c j i e Owner or Tenant&/( 091 5jyr/:__ /tofLj7/)J Telephone No. ,1111 Owner's Address aPine rd 5/,f leh ,7 Is this permit in conjunction with a building permit? Yes W No ❑ (Check Appropriate Box) • Ilk Purpose of Building rl'`ir/iL'f 9/ Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters l l Number of Feeders and Ampaclty 174pFadon and Nature of Proposed Electrical Work: &Lc f/ /a f-/,0' / /Gltj L'O/I"I r .4., 0f 1i/ //flf7ZJ8 /7 //7 U/irififq--i Completion of the followinktabk may be waived by the Invecfor of Wires. Total I No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Transformers KVA KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA r1 No.of Luminaires Swimmin Pool Above In- lo.of emergency Lighting g grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices 111 No.of Ranges No.of Air Cond. Tons No.of Alerting rthtg Devices No.of Waste Disposers Rest Pump Numberotals: .Toss.._.KW.__- No.t,of ectn/A Self-Contained Devices No.of Dishwashers Space/Area Heating KW Local❑ Munl� ❑ Other Connects 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 W No.of Devices or Equiv t OTHER: ( L/C//77 ' Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: r?„1/e (When required by municipal policy.) Work to Start: ,,i7/// ,y1,1,9a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 0 OTHER 0 (Specify:) 1p ///1/�a/ ,s I certify,under the pains and�penalties o perjury,that the Information on icatio is trs4 and complete. FIRM N ; -2 . Licensee: ) Signature LIC.NO.:( ' (If applicab enter"ea pt"in the likens rumor line.) Bus.TeL No.- LX- -4// /p Address: / <S�`'tt/(Z Lir / w7/j./c/)P �A7(,,3 9 Alt.TeLNo.:7X/-,99%/- /b� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.3,5CO 6006z/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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ L/1/4 j°6