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Home My WebLink AboutBLDE-18-006863 �� Commonwealth of Official Use Only ✓ Massachusetts Permit No. BLDE-18-006863 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Coda (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/4/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pvioukthe electrical work described blo�I Location(Street&Number) 8 DOGWOOD DR kip)A-Lup —J✓ Owner or Tenant HERAS DARYA Telephone No. Owner's Address KASPAROV SAMUEL,8 DOGWOOD DR, SOUTH YARMOUTH,MA 02664 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 New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: Remodel kitchen,bed room,&living room. 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 0 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 BurnersNo.of Detection andera 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water , 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 ❑ 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 Mt.TeL No.: . *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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:$75.00 feu Co ' f.��G (--c--(04-c. / yet be . 3c/V/ Cr QcP4dO // .1/ p�S,eNf JG' /—lo(4isc I v. ammunmea&o`///a,eaa/well, Official Use -_�Ay_ cc`� Cie t�63 2eparimenf o .7 Permit No. �� f Dire sirviu, .• "I`IE ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) ' V . • (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code I 27 I r 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 61 q l City or Town of: YARMOUTH To the! sector j Wires: . By this application the pndersige ves Tnotice of his or her intention to perform the electrical work described below. Location(Street&N ber) J 9 J W.f�pr� Owner'or Tenant •i I UAB ��(MCS Telephone No. Owner's Address Is this permit in conjunction wiik a buBding permit? Yes 0 No Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters I Number of Feeders and Ampadty cation and Nature of Proposed Ele cal Work: Re w tilt—CS-AO—Lk 1 ct L ii103 �s I t& k f ueor CSU)I ,_s X 115 s Completion of the follewrnLiable 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 o • z Ni .of Luminaires Swimming Pool Above In- 0 No.of! mergency Lighting LL grnd. grnd. Battery Units W Quo h N'N .of Receptacle Outlets11 No.of Oil Burners FIRE ALARMS INo.of Zones '� �� of Switches No.of Detection and ' No.of Gas Burners "C' a -J ..... Initiating Devices W p a '1 .of Ranges No.of Mr Cond. Togs No.of Alerting Devices Z z of Waste Dioser Heat Pump Number (Tons KW No.of Self-ContainedIll —iaTotalsfDetection/Alerting Devices j,,. .of DishwashersCC 5 Space/Area Heating KW' Local Municipal niV�o.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters KWNo.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 ifdesired or as required by the Inspector of Wires. Estimated Value ec ai ork: (When required by municipal policy.) Work to Start: ( I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E GE: 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 cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) !cerrijy, under t du and ' s ofpe •ury,that the information on this application is true and complete. FIRM NAME:��' 1��--} G[ qyt LIC.NO.: ill .1(3 31 Licenser. T k—rack) Slgnstn 1N�� LW.NO. (Ifapplicabl� ntgr"esgrr{pgii t !ic artvmber line.) `` `` �U us.Tel.No.:__ Address. �/ 1WN t�(� lance J 'Per M.G.L. c. 147,s.57-61,securi work requires De4arument of Pu lieSafety"S"License: It.TiTc.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — Ownred d by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Signature Telephone No. . 1 PERMIT FEE: $ 7s--- 1