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Home My WebLink AboutE-19-7276 Commonwealth of Official Use Only 00Permit No. BLDE-19-007276 Massachusetts 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:6/26/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or het intention to perform the electncal work described below. Location(Street&Number) 44 LOWER BROOK RD Owner or Tenant ASH JANE L Telephone No. Owner's Address 44 LOWER BROOK RD, SOUTH YARMOUTH, MA 02664 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Check house for service turn-on. (Has been off for over 1 year.) 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 Initiatinc 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/AlertinE 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 KW No.of No.of Data Wiring: Heaters Siens 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 ❑ (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 Signatur e Telephone � V�1_ ,Telephone No. PERMIT FEE:$50.00 c�✓ aal< I 1 I0 dui✓ c7 ."--/ •_.."0' _ .., ri l�OmmonrusaGrh of///aasara l Official Use Only .,, ,/ -�pa „:ant o��irs S'arviw Permit No. Q — <"7 �'7� -- - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev. 1/07) (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 06z/ City or Town of: YARMOUTH To the I ecfor of Wires_ By this application the dersi ed [rn gn gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Lit/ ho Lo Qv- i r0OK. (_ -Owner or Tenant 6L pap L A.j� `+3 J Telephone No. 50 0j- 31 > Owner's Address yf( kow..., N�reok. /2<< `� Is this permit in conjunction witha building permit? Yes -=' ❑ No (Check Appropriate Box) Purpose of Building Utility nthorization No. Existing Service Amps / Volts Overhead D. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gad ❑ No.of Meters Number of Feeders and Ampacity 10904 mr Location and Nature of Proposed Electrical Work . Compel/Li completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet1-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 N.mergency Lighting - ,and. mid. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices 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: J •Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Low Q Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.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 if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: /509 (When required by municipal policy.) Work to Start: Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. , INSURANCE C YE 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 .ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M BOND ❑ OTHER ❑ (Specify:) I cer ,trfy, under •ai and s eau drat the ortrsation on this a 1'catin FIRM N �. t t > f pp n is true and complete. -� • : ( C-"L1j L C-_,.i. __ LIC.NO.: "0 Licensee: ()AP' �,. (IfaPPlicab nrsr t Si r ��" :■� LIC.NO.: Address. 10 W r i Bus.Tel.No.: J Per M.G.L. c. 147,s.57-61,securityrequiresAlt TeL No.: Dep. .. ent of Public Safety"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norm ally 5 required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. LPERMIT FEE: $