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Home My WebLink AboutBLDE-18-006727 Commonwealth of Official Use Only the Massachusetts _ Permit No. BLDE-18-006727 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev.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:5/29/2018 City or Town of: YARMOUTH To the Inspector f Wires: By this application the undersigned gives notice ot his or her intention to perlor e electrical work described below. Location(Street&Number) 8 DOGWOOD DR ( ) 4 A- 1 4 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 0 (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel house. • Completion of the following table maybe 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 ❑ ln- ❑ 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 Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs iNo.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 ❑ 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:$75.00 Zit IIgl� .,, ` A //�� pe,, Massachusetts V l ommoamsaCth of tt/aetachue¢l/a Official Use Only t (ig-6717 cc77 Services Permit No. rwt �eptulmanf o`.iiro Jeroksd C Co '. 'it t BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]Occu/ and(lFee Checked ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(Mit),527 CMR 12.00 (PLEASE PRINT IN INK OR Tric ALL INFORrt�RT1ON) Date: 05/2,7/1 8 City or Town of: ecr^^-.o To the Inspector of Wires: By this application the undersigned gives notice of ht or er intention to perform the electrical work described below. Location(Street&Number) e bog(DOOr1 d`. S Wttt Va rfl o/& I�•il Owner or Tenant (^�4tidialUrQ l�vyt/L1rL Telephone No. ,5-0e_ 564-oleo a Owner's Address AR No3coomA DA S [, VnrnnOo4k. ,s2 o . z Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) J J 2 Purpose of Building Utility Authorization No. C�_ a Existing Service Amps / Volts Overhead❑ Uadgrd ElNo.of Meters a. o New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters LU _ O Number of Feeders and Ampacity / pi. Locat on and Nature of Proposed Electrical Work: Do the ram/./ aid y..-w / E0 ,I4 C' k en in loo St / �� " Completion of the following table mar be waived hr the Inspector of Wires. No.of Recessed Luminaires No.of CelLSusp.(Paddle)Fans Tof Kotal TrNoTransformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires SwimmingPool Above la- No.01 Emergency Lighting grad. U grnd. 0 Battery Units No.of Receptacle Outlets No.of 011 Burners , FIRE ALARMS No.of Zones Na of Switches Na of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tota No.of Alerting Devices No.of Waste Disposers Heat Pump Number :loos KW No.of Self-Contained Totals: '"'"" ""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW l Municipal o l ❑ Connection 1--1 Na 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 Motor Total HP Telecommunications R irin : No.of Devices or Equivalent OT11ER: Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of tech:cal Work: 17 000 (When required by municipal policy.) Work to Start:_ 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 suchnccoovtttfrage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certh�,under thmninf ant�pe�_nities tr(perfurythat the In ormarion on this application is true and complete. a/,7G FIRM NAME: Qjeie-R e IC) a LIC.NO.: `t ,�^E Licensee:Te t' �e Signature a _ t it LIC.NO.: (If applicabl.qn e n in h lir se number ll �"' Bus.Tel No: Address: �O it � � GC1 Alt,Tel No.: *Per M.G.L.c. 147,s. 57-61.security work requires Dfpartment 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 law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$