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Home My WebLink AboutBLDE-19-002419 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-002419 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:10/23/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives ntice o is or cr men on to per omi tee nca work described bew. Location(Street&Number) 10 MARGARET JOSEPH RD UI ?IL I (, 614 Owner or Tenant MONTEJO STACIE ANN Telephone No. Owner's Address N'•10 MARGARET JOSEPH RD,YARMOUTH PORT, MA 02675-2440 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 incorrect wire to service. 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 13In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1' 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 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 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: PETER PETO Licensee: Peter Peto Signature LIC.NO.: 14763 (If applicable,enter"exempt"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 0 owner's agent. Owner/Agent - Signature Telephone No. PERMIT FEE:$50.00 u `at ieCMO f ilirizatog COUe,j2 cAr asComvezei IU/niJi fet.. Jtc ' /let l .t . __ t�ommonmea e7ppac ifs •OOf ciiial Use Only !xi! 2eparimati of.Yin Jerr tie ...•Permit No. J,—1— 21 q v • =I:�= ' BOARD OF FIRE PREVENTION REGULATIONS OccupancyamdFceCheeked [Rev. 1/07] (leave blank) APPLICATION FOR�PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10 2_5 12 City or Town of: YARMOUTH To the Insp ctor o Wires: By this application the undersigned gives notice of his or her intention to,erfor(n the electrical work described below. Location(Street&Number)Nu /0 /(h G{/y�' r 10.5 `0 h 1 Owner or Tenant .11 )g c'l2Vt F.-06.w Whin— v/ Telephone No, Owner's Address Is this permit in conjuncts thea permit? Yes ❑ No la` (Check Appropriate Box) `'� Purpose of Building R Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters _ Q New fService Amps / Volts Overhead 0 Undgrd 0 No.of Meters �‘ MI of Feeders and Ampacity LU 2.40 _ x :on and Nature of Proposed Electrical Work: Ckai s a °', l'_ IIo Ai w i r� v Lu t Completion of the table may be waived by the Inspector of Wires. f Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans s. No.of Total Transformers KVA w — '' �f Luminaire Outlets No.of Hot Tubs Generators KVA •hi Luminaires Swimming Pool Above la- No.of l,mergency Lighting entd. ornd- 0 Battery Units No.of Receptacle Outlets . No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners • . No.of Detection and - Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Muni Connectiocipaln 0 other No.of Dryers Heating Appliances Kw Security Systems:* of No.of Devices or Equivalent No.of Water No. HeatersNo.of Data Wiring: - 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 detail Vdesired or as required by the Inspector of Wires. Estimated Value ofE ctric 1 World (When required by municipal policy.) Work to Start /0.2- le Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 BOND 0 OTHER 0 (Specify:) I certify, under . ••' and.menet of pet] •. that the information on this application it true and complete FIRM NA.• .• - �• �a� Licensee: � ? a LIC.NO.: I� 63 ^ 4 ►_.a Sign �u� LIC.NO.: (If app 'mbl nt 'ere t' id the e e mer fin ) 1`"��_11 ! s.Tel.No.. Address. f� V,/i( ,f ) - ry v% I - J Per M.G.L.c. 147,s.57-61,securi work requires Department of Public Safety"S"License: Alt.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)0 owner 0 owner's agent t Owner/Agent Signature Telephone No. 1 PERMIT FEE: $ S^�