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Home My WebLink AboutBLDE-22-004843 Commonwealth of Official Use Only or Massachusetts Permit No. BLDE-22-004843 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:3/2/2022 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 Lighting Rod System 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 To No.of Ranges No.of Air Cond. Ton 1 No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertinc 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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:$50.00 RECEIVED _' MAR 012022 C 'nweatth°`Maseac�e�s Official Use Only ) fa * cc77 n Permit No. I. �.� is,adtmeni o`.1ire Services t DING DEPARTMENT V' 2r _ ' -•a-=. - J.- PREVENTION REGULATIONS Occupancy and Fee Checked J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Cr 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: 2/10/2022 4, 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 Street South Yarmouth MA Owner or Tenant L e• % `. .. Telephone No. 6 I-] 4,7 8. Oo3 Owner's Address :100 ""lc'yt 5-tre Lk16- cam(` yr t -,c_te,.., m V) o..-1 t i Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) c Purpose of Building Garage Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters - .....--) New Service Amps / Volts Overhead❑ Undgrd❑ No.of MetersNumber of Feeders and Ampacity N/A Location and Nature of Proposed Electrical Work: Lightning Rod System Completion of the following_mble 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. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KEY Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances K'W Security Systems:* No.of Devices or Equivalent No.of Water K�,, Heaters Signs Ballasts No.of Devices of No.of Data Wiring: evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications�1 iring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6450.00 (When required by municipal policy.) Work to Start:2/10/22 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 1 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: Boston Lightning Rod Company Inc. .1/ LIC.NO.:Exempt Licensee: Parker Willard Signature` i4 t� /�' LIC.NO.:Exempt (If applicable,enter"exempt"in the license number line.) i us.Tel.No.:781.326.2807 Address: 1201 East Street Dedham MA 02026 Alt.Tel.No.: 7e1-858-7496 *Per M.G.L.c. 147,s.57-61,security work requires Department 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 laam the(check 'my s• nature below,I hereby vaive this requirement. I Owner/Agent{�LJ/ one)0 owner ❑owner's agent. Signature �'kSL ^ elephone No. 781-326-2807 PERMIT FEE: $