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Home My WebLink AboutBLDE-22-004515 Commonwealth of Official Use Only !`Milt Massachusetts Permit No. BLDE-22-004515 IlneY 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:2/14/2022 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 temporary service for 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- ❑ 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. Ton l No.of Alerting Devices 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 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 ❑ (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 �C- 6-3 Cafe 4 CP' 1 tt-l--" Mat)(jag( ThrS l c. m c Luc t )) RECEIVED 4 1 .EB 14 20ZZ co .nu aalth al Maaaaclueiita . Official Use Only t it. r p gins S Permit N 2 K _ k _l I("r SING I�EPt RI MENT V 1 te,.,:,__e __ PREVENTION REGULATIONS Occupancyv. 1/0 and FeeChecked <.{ [Rev. 1/07jeave ) • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ,527 CMR 12.00 ,.-.E (PLEASE PRINT IN INK OR TY ALL INFOR TION) Date: d2I/f la a JCity or Town of: Q r M 6 w- 1 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) � �30� P' RA- �-i.— 66.(6—s Owner or Tenant A 1Qn Le‘(eird-(na—` Telephone No. f Owner's Address CY d Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) & Purpose of Building g Utility Authorization No. RJ v s Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead 0 Undgrd❑ No.of Meters W Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I r S-t-0. I t -F-cry-\A0 6,t-a c S CV 1 C C Completion of the followinktabk may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti.-Snap.(Paddle)Fans No.of T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA $t No.of Luminaires Swimming Pool Above Q In- Q No.of Emergency Lighting nd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of DeI ctIon and Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _KW No.of Self-Contained Totals: _.._... -- Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKWMunicipal p I'0�0 Connection 0 " No.of Dryers Heating Appliances KW Security s:* No.of Water No.of Devices or Equivalent IOW No.of No.of Data Heaters Signs Ballasts No.Wiring: or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W ing: No.of Devices or Egaiva2ent OTHER: Attach additional detail f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Di BOND ❑ OTHER 0 (Specify:) I certi,fy,under the pains and penaldes ofperjury,that the information on this application is true and completeA111,19 FIRM NAME: 1::Lk 1 lCf Elec+rt c., CZ mean\/ LIC.NO.: Licensee: C..4ryie mac g id,e-n$Signature IC.NO.: (If applicable,enter"exempt"in the I unumm¢�line.)i 1 w '. Address: (24 A Th r d -t.J- 'U Y va� i Bus.TeL No.: *Per M.G.L.c. 147,s.57-61,securitywork Alt.Tel.No.; requires Dep t 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/Agent )❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ i