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Home My WebLink AboutBlde-19-00505 _ Commonwealth of Official Use Only Permit No. BLDE-19-004505 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:2/5/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 360 STATION AVE Owner or Tenant JEAN LEONEL Telephone No. Owner's Address JEAN MARIE SONIA, 360 STATION AVE, SOUTH YARMOUTH, MA 02664 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: Basement renovations. 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 ElIn- ❑ 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 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: $75.00 4 ,,g (t 4 e-,,,,ex. ',cI3(I « e, 7 ,yam /� _ J E.,ommonwea�o/Massackuaslfe Official UseL On!,�(� v✓ tr �, i .LJs arlme o .firs�arriicsa Permit No. QC? I. P 1 s" Occupancy and Fee Checked �j� '.. ,<` BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pertbrmcd in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR Tj'P1 ALL 1NFORMA ON) Date: 0'Z_(9. // City or Town of: �,a (' 'A • To the Inspector of yy��,ires: By this application the undersigned gives notice f his or her intention to perform the electrical work described below. Location(Street&Number) 3Q S'‘ i o ti LL�tz . Owner or Tenant 1DQA it/ •f � t /1j Telephone No. 7'�t/ '3(o S-Z,WO 0 i 1 Owner's Address '3 6 O .S-(a l 0•, , N(e. ~s z i 11.1 1 ; `I Is this permit in conjunction with a building permit? Yes ❑ Ni;15\ (Check Appropriate Box) t Ij Purpose of Building (utility Authorization No. 1 0-l -; 4� C — i 'c: j Existing Service Amps / Volts Overhead❑ t,�ndgrd❑ No.of Meters i ilir -� ,i -" ,i New Servict Amps / Volts Overhead❑ t?ndgrd❑ No.of Meters a *btl�u.! - Number of Feeders and Ampacity t� I Location and Nature of Proposed Electrical Work: Peh( VC-1 i4 j the 6a-jJMt 4T J Completion of the following_table may be waived by the/nveclor of Wires. No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No,of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimatin Pool Above In- No.of Emergency Lighting g grad. ❑ grad. ❑ 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons o.o fC e ontained Totals: ""'" '"". Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of bevices 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 OTIiER: Attach additional detail{/•desired,or as required by the Inspector of Wires. Estimated Value of Electri j Work: i S 00° (When required municipal policy.) q by l� p Y ) Work to Start: //j� ) ;/,5 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CCYVERA(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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Speci1v:) I certify,under thi..pa ns and al' of p ' ry,the the.information on this application is true and complete . FIRM N3E: ,41 •.,J" - -?_ tPiC ( .--- LIC.NO.: (��0 .. Licensee: _r' (: Signatu a __ .-----"-LIC,NO.: alapplicab it ec��''exeh 1/49Purr i�t�,lined ' - Bus.TeL No.: Address: JL. � "� / ! 7 (.) Alt.Tel,No.: Per M.G.L.c. 147,s, 57-61,security ork requires Depahment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally • required by law. By my signature below.I hereby waive this requirement. i am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ --r1(f 2 L — ,y�74 5