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Home My WebLink AboutBLDE-21-007586 Commonwealth of official Use Only Massachusetts Permit No. BLDE-21-007586 6` 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:6/29/2021 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Trench&conduit for future wiring. 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 Initiating Devices 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 Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: LANCE A MACENERNEY Licensee: Lance A Macenemey 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Ch- ,h0 (21 15=1----- __ Commonwealth o/Maadac/u$e1t3 Official Use Only Pt—�t—„, Permit No. c� t.= —7_ Sier, km*---' aUepar meat o f Dire Serviced c~� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and.Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be peifui,.ued in accordance with the Massachusetts Electrical Code(MEC,527 tR 12.00 (PLEASE PRINT IN INK OR TYPE L INFORMATION) Date: Co I Al City or Town of: .. rrnOtL.. To the Inspector of Wires: By this application the undersigned gives noti a of his or her intention to perform the electrical work described below Location(Street&Number) • Ma Parcel# 43 24 Owner or Tenant A(Qv\ Le.sle�4(LQ.. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ 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: -+YenCh _Q..d , - Q tJv e.. 1,(5)Q.1 ,,0 a(Xb S A)ri Ye_vJay Completion of the following table may be waived the Ins ector of'Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o. f Total IAVA Transformers A 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.o Detection and Initiating Devices No.of Ranges No.of Air Cond. Toons 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 0 Municipal El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices.or Equivalent No.of Water KW No.of No.of Data Whin:,Heaters Signs Ballasts No.of Devices,or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Teieeommunications 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 MVIEC 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 ains and penalties of perjury;that the information on this application is true and complete. j FIRM NAME: wk(e( '-.1 cCk i . �vy, (AyW LIC..NO.: ! i` Licensee: wit ll`>,° �lll� e n e {h�,� Signature LIC.NO.: (If applicable,enter"exempt"to the license number lin ) Bus.Tel.No.: 77 c d O 3j Address: 124 A Yh td l e a)( (_ �p r Alt.Tel.No.: *Per M.O.L.c. 147,s.57-61,security work requires De artment of Public Safety`IS 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 Signature Telephone No. PERMIT FEE:.$ O.Od *IMPORTANT! A sanarsata narmit is ranitirsd for the installation of smoks dstectors_Firs Alarm insnsrfinns ara nsrformsd by ilia Ff1 hsvinn 6 irisdintinn