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Home My WebLink AboutBLDE-19-001169 ar Commonwealth of Official Use Only fiMassachusetts Permit No. BLDE-19-001169 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:8/27/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto In •iectrmai work descri below. Location(Street&Number) 41 SWAN LAKE RD 1l 1K/ e STN) E^� Owner or Tenant ACETO DANTE D T ephone No. Owner's Address 0/0 DON LYONS,308 BUTTERFIELD MILL RD,NEW BOSTON,NH 03070 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: Replace panel&restore power. 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. Total No.of Alerting Devices Tons 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Peter Peto Licensee: Peter Peto Signature LIC.NO.: 14763 (If applicable,enter"erempt"in the license number line.) Bus.Tel.No.: Address:132 Wintergreen Ln, Brewster MA 026312258 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 • ammonwea&of Massachusetts .`_ Offici Use ly k defragnund ofliJVEIPermit No. O ` L 7n,— n ,( BOARD OF FIRE PREVENTION REGULATIONS Occupancyev. 1/07] .and Fee Checked (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: City or Town of: YARMOUT To the Inspector of Wires: • . By this application the Imdersigned�gives notice of his or h tendon to perform the electrical work/ described below. Location(Street&Number) T) SuXs /GIe wr Let)j garou4L ` Owner orTenant & ( Son L nett Telephone No. &93 l i 9.JZ q Owner's Address y1 5&a.� lulu Ra UM Yr:^ J{4_ r Is this permit in conjunction with a building pe rt? Yes 0 No (Check Appropriate Box) m Purpose of Building � ?�vie( Utility Authorization No. o in: �c.t •Q Existing Service Amps / Volts Overhead 0 Uad rd w g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters I co 7 amber of Feeders and Ampacity I ¢ '�tion and Natureiof OGlie.r 10 Proposed Electrical Work P amt O4 Sir • Com teflon o the followin table m be waived by the Inspector o Wirer. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool ! -1 i0 0 In- No,ofatteryUF,mergencnitsy Lighting gra No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Alt Cond. Total No.of Alerting Devices 1 • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Sett-Contained Totals: Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW' Local Municipal Q Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of No.of Water No.of No.of Data Wiringvices or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional derail if desired or at required by the Inspector of Wires. Estimated Value of Electrical Work: a- (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 suchcoverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND 0 OTHER 0 (Specify,) I cerkfy,under th .ai and of p ' ty,that the ipfor,mation on this application is true and complete y p FIRM NAME: C 0,'— 270 -et l LIC.NO.: ✓y / b_ `y Licensee: Pi - • e �r� (lfaPPlicab¢ ntgR"Q�t;•rrtt tic b r(ine.) Signa��,_-_ i\ LfC.NO.:�— Addresr. ` L_ �/ILA Vl ' . Tel.No.: J *Per M.G.L.c. 147,s.57-61,security ork requires D artnent of Public Safety"S"License: Alt `Tc.No.l.No.:______ � ` ei 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 agent. Owner/Agent - I 01 Signature Telephone No. ...• I PERMIT FEE: $