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Home My WebLink AboutBLDE-18-002845 Ci Commonwealth of OfecialUse Only f� ► Massachusetts Permit No. BLDE-18-002845 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07j 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:11/13/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below. Location(Street&Number) 22 AUTUMN DR Owner or Tenant REYNOLDS DONALD T Telephone No. Owner's Address PO BOX 382, DENNIS PORT,MA 02639-0382 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 - No.of Meters _ Yew Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen 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 ❑ Municipal ❑ Other. Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Eauivalent OTHER: Attach additional detail ifdesire4 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'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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERINIT FEE:$75.00 Fa)64 Ctlltuksv) &1 (6(16r €&mt, t(('24i e ta- 1 L.,"S /J u S L.Ominonwc6lflt OF,./03d¢ChY�CLL7 Use PermtNo /r '.-UcParf+nenl•O f�uv JarvicerO BOARD OF FIRE PREVENTION REGULATIONS Oe�"F7`ysad Fee Checked Lc Rev. I/07] p a blank) APPLICATION FOR'PLRMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code f C),527 Chfl.12.00 (PLEASE PRINT 1N MK OR TYPE ALLINFORAIATI019 Date: Il/ 13 / 7 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)Ia e2 A-cd(Awl V) Own er'or-Tenant 11 - COW-4,e-C. 0 j..-1.-- C r Telephone No. Owner's Address Is this permit in conjunction with a buildingpermit? Yes ❑ No (Check Appropriate Boz) ' Purpose of Building Re S 1C/&-2.L t.'k'74l Utility Authorization No. IEris' ting Service_ Amps / Volts Overhead E. Undgrd❑ No.of Meters _ o New Service _ Amps / Volts Overhead❑ Undgrd E No. of Meters W �� Number of Feeders and Ampacity > o Location and Nature of Proposed Electrical Work. �J (A?1S GtiK� /1 14-1 1R kf•r;C14f.Vj N Q co _. . Completion of the folbwms table may be waived by the Irsoector of Feuer. o >. No.of Recessed Luminaires No.of CeESusp.(Paddle)Fans INo.of Total Z Transformers KVA W No. of Luminaire Outlets No.of Hot Tubs cGenerators • KVA ' Ix m m • No. of Luminaires Swi*nmiug Pool Above ❑ In- ❑ o.of> mergency Lighting crud.. er-nd_ IBattery Units • Na. of Receptacle Outlets . No.of 011 Burners IFIRE ALARMS INo.of Zones No. of Switches No.of Gzs Burners • Na.of Detection and -, Initiating Devices ital No. of Ranges No. of Air Cond. To No.of Alerting Devices J ons• Heat-Pump I Number Tons KW No.of Self-Contained -i Totals: Detecfion/Alertino Devi No.of Waste Disposers ces No. of Dishwashers Space/Area Heating KW' Municipal F Local 0 Connection ?r, No. of Dryers iteating Appliances KW Security Systems:" No.of Water No.of Devices or Equivalent Heaters No. of No. of Data Wiring, q KW Ballasts SignsNo.of DevicesTor Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na.of Devices or Equivalent Oitdh,R - Estimated Value oI Elec cal Wor I Attach oddihonal detail y'desired or as required by the Inspector of Wires. Wh Work to Start: I t 1 S ( 7 T"j�� required by municipal policy.) dd ctions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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: INSURANCES, BOND 0 OTHER 0 (Specify:) I certif3', under rh-e,,pains and s ofpe ury, that the information on this application Er true and complete FIRM NAME: Te4er ter--" I�Gf-hCl0(4,1 L( 7 LIC.NO.: I63 -13 Licensee: r .G Signatn LIC.NO: (Ifapplicabl1 en r calm;in he license number!' e) Bus.TeL No.:_ Address: l lakil bti II gyIre,t,�s'-� J "Per M.G.L. c. 147,s.57-61,secun work requires 4 Alt.Tel.No.: 'Department of Public Safety"S"License: Lic.No. ------- —' Q 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 era the(check one)0 owner 0 owner's agent. - Owner/Agent Signature Telephone No. I PERMIT FEE:$