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Home My WebLink AboutBLDE-21-007314 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007314 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:6/16/2021 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) 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: Wiring for dock. 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 ALARA �'�lo.of Zones No.of Switches No.of Gas Burners No.of D, .• H1btte�s"—n'J 4,..,?s,),,,, Z No.: :: isposers f Ras N; o1.of Air Cd. Tons Tota No.of +i No. f W Number Tons KW ip &- tals• Detection/Alerts _ No.of Dishwashers Space/Area Heating KW Local 0 Municipal d er Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent4 to No.of Water KW No.of No.of Data Wiring: Heaters Siens 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 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT —i- b cialivotk,s7 614teizi r i (i 1 `, Commonwealth.o/laoiachac etts Official Use Only ---7 ( I-4 ` E, hel, c� c7 Permit No. � `" i .Ve artment of Jire Serviced lIs �_ Occupancy and Fee Checked -`— BOARD OF FIRE PREVENTION REGULATIONS ,;q®y� B /� �y A' ® ®n� `�` ®C ®�[AReVC. 1/07] (leave blank/)�/ WORK APPLICATION FOR PERMIT i O PERFORM ELECTRICAL RICAL 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: 6 114 1021 City or Town of: Yaan pu,b 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) ,3 P 1 eit.SC h 4 - Map Parcel# ti 3 /2c., Owner or Tenant Alan Lekit.n.-V KoLl 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: i j$ Q e +n a0 Lv., Completion of the following table may be waived by the Ins,ector of Wires. No.of Recessed Luminaires No.of Ceil.-Su�'°�addle) Transformers KVA Fans No.of Total No.of Luminaire Outlets No.of Rot Tubs Generators KVA No.of Luminaires Swimnun Pool Above In- No.of.Emergency Lighting g 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 1-7 Other Cannectio>a 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 E'uivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel '2_. lo.of Devices or HQ 2 ent OTHER: R: 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the Reins and penalties of perjury;that the information on this application is true and complete. FIRM NAME: F Ile( E I�L-(k c Cv \Par LIC.NO.: A 11 l 11 Licensee: LR t\. t 1'1°IC E n e rn e Signature _.. LIC.NO.: ! ( Bus:TeL No.: .5 8 l 7 S'-O d 3d If applicable�,,�a ter �erunt in a lane) Address: 6&1Q"e Vim,i d 1 license number�c h t/ t4. (M.D - Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires D artment of Public Safety`4S License: Lie.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 0 owner 0 owner's a mit. Owner/Agent Signature Telephone No. P / *IMPOPTANT!A senarats narmit is rsnuirsd fnr flu)installatinn of cmnks detsctnrs_Firs Alarm insnsrtinns ma nsrfnrmad by thA Fn havinn ii visdinfinn