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Home My WebLink AboutBlde-20-000264 N. Commonwealth of Official Use Only ms.� Massachusetts Permit No. BLDE-20-000264 E 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:7/16/2019 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) 6 GENEVA RD Owner or Tenant SBORCHIA PAULO S Telephone No. Owner's Address CIO DOWNER KATIE, 51 ALDEN DR, BREWSTER, MA 02631 Is this permit in conjunction with a building permit? Yes ❑ 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 kitchen receptacle with GFCI. 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 got?: grnd. Battery Units No.of Receptacle Outlets 1 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 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 r •••••.\„.ct Commonwealth of///assachussf • cpcial Use Only "' cc�'� cc�7� Serviced 7 - -o� 1 �� = .2)eparincsnf o�.�ire J Permit No. arvcces —_212-6 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR=PERMIT� TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code CMR 12.00 ,,,_ C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '(7(-3 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the r,mdersigned gives notice of his or her intention to perform the electrical work described below. 0 Location (Street&Number) Qe. A e_U c.,in Owner or Tenant kt £ L O t i 2Y Telephone No. Owner's Address Is this permit in conjunction wt a building ermit? Yes ❑ No r (Check Appropriate Box) Purpose of Building Q S i G (,t''1 �it� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity L�, jca.ttiiioon and Nature of Proposed Electrical Work: iL/',L,Agt..s 4) , I w t/vo Completion of the following table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Cei1.Snsp.(Paddle)Fans No.of Total Transformers ICVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- 'No.of It mergency Lighting - grnd. ❑ ernd. ❑ Battery Units No.of Receptacle Outlets No.of OilBurners FIRE ALARMS No.of Zones - 1 No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal nnection ❑ Other k Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent i Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lectri i Work 7 (.6 � 19 (When required by municipal policy.) Work to Start l Inspections to be requested in accordance with MEC Rule 10,and upon completion. • INSURANCE CO RA 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 overage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER f certify, under ,a' (Specify:) FIRM NA : lC.. • e s of p t ac '4nf°� on on this application is true and complete. I ill Q C ,)Cr L G'h LIC.NO.: I i G r—(� Licensee: .� AIM, 4t -_� (IIaPPlica J�••7. f,t. . r Signs �i LIC.NO.: . Address: / 14 e i eliii tAi IIIMM ,F3prr- Bus.TeL No.: �— "Per M.G.L. c. 147,s.57-61,security wo requires Dep. .. ent of Public SafetyAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I "S"License: Lie.No. required bylaw, Byam aware that the Licensee does not have the liability insurance coverage n�onna(a - my signature I hereby ereby waive this requirement I am the(check one 0 owner t Owner/AgentEl owner's a eat. Signature Lai Telephone No. PERMIT FEE: $