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Home My WebLink AboutBlde-22-003470 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003470 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:12/20/2021 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) 22 BRAE BURN LN 7 74 276- 6 4j Owner or Tenant Roger Raymond Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wiring for hot tub. 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 1 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 Initiative Devices No.of Ranges No.of Air Cond. TTotal No.of Alerting Devices 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 my 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: $115.00 /v`e - r - As-doer,f---�� /1/t/1i l`D�- i Oili9141('W_ N�i'L— S U e. ....hra+rrk 4 Massacistregs Official Use 64y . r� partmed t e� Smokestre PermitNo. ?J�i3 7 c BOARD OF FIRE PREVENTION REGUULATIONS Rev Occupancy and fee Checked � 1 (leave Nano APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All%Jerk to be performed in accordance with the Maatachusetta Electrical C (MEC),C),527 CMR 12.00 (PLE4SE PRINT IN INK OR E INFOR�{ATION) Date: 't-1,2 ,D a 1 Cityor Town of L44OtfL1 To the 1 ofWires: By this application the tmdersigned, ofhis or her' to perform the electrical work described below. iaades(Street& ) 20L ,�y 1'C^e_ �jl"V1 1) 0 �+T _, or Teaatit t<0 a�'Y' K �� cJL Telepbone No. w-�. ;4 i s Address Z ma . permit la conjunction with a permit' (Cheek Appropriate 0 Nog (Ch Appropriate Bost) c a of � 0.� 1 thtll ty Aethoitzsdai No. w I C\1 ' " - Servke 10 o, Amps (Z0 I Volts Overhead a t?turd 0 No.if Meters I 0' v .;. Smite (72012,... Amps (2 6 Vells Overhead` U�nd 0 No.el Meters I W w (°�N 1 , of Feeders sad Air IX m - ad NNrtre of k '�C�Work: C.h 4.c-t Se lit'C� .-Je c2p O 42c q 1 Ho wow Complettce al are*hawing tabk way be waited by Ow( *ref Wane No.of Rammed Laniasires Pie.of C lle seep,(Paddle)Fags Pm.oliTransformers OVA Na of Laedasire O'Dea; Na OHO Tubs Geteerstetrs KVA Na of Less ii+te 'linage(Post Above ❑ la- ❑ twee of 15 is oty'Lrjtiusg mod. trod. BMW Di* No.of Reeeptsele Outlets Na of OS Banters FIRE ALARMS JNa of Zones Pia of Switches • Na of Gas Barsers ` Deva Details. ine Na of Rages No.of Air Coed. Tone $la if Nerds(Doeles Na of Waste Disposerst [T •--- p pa lees Na of Dishwashers Spike/Arts Hestia g KW t ❑ ❑allatclir Other Na of Dryers t Appliances KW S fs Na ofev or ant Q Naof Water KW Na or N Data q HeatersSite &Masts !d�" L I Na Hydriwassage Bathtubs No.of Motors Total HP No.of +�" .r "or OTHER: 0.4 Attack additional del V Orsirond or w rewired by the Inepecler ttf Mtvs. v Estimated Value Qf ,Work. 5 "v (When requited by municipal policy.) �' Work to Start: '(( inspections to be requested in accordance with MEC Rule 10,and upon completion. C INSURANCE CO ' • Unless waived by the owner,no permit for the performance of electrical work may issue Wen the licensee provides proof&liability insurance including"completed operation"coverage or its submantiel equivalent. The undersigned certifies that such coverage is in force,and hes exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I maim the mime owl afpopfirry,that Ott Idfinoation on tide gtyrfkatlenb tam sad rea ps/ y FIRM L'-'Tt LIC.NO.: l y! �:3<9 Limon: "r� s�, Signature t t LIC.NO:: ffiA (tl'C 'j.t" i l l tittrelPirilAexr b i'e, �� S ) Bus.Tel.No.: ' g70`- 'Per M.G.L.c. 147.s.57.61,security naquirss Publi of c Ale Teo.Nor: Safety"S"Lioett.+e: Lice No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doss not have the liability insurance coverage florally q 1 1 5 required by law. By my signature below.I hereby waive this requirement 1 am the(check one)Q owner ❑owner's agent. OwaeriAgeot Slyanwe Telephoto*No. IPERMITFEE:$ z Ill' Z 3J, 3's 1�,3C-e. Aim/- „4 ic.,3itT,K SOCK-an Zf0r30. Q S E-C_ vu✓s' G 77) Soe✓co- 6, -✓.✓R�/ 24 -r72 c.a./ D 11)" ?cu s' Z a 2c" Diu a• ' 1sew9z- /-k)dsr 7:2iS /3t.2nx, 2 V.'-i I'rll S S 4 S6 6Arr bJ cee)"4-1 Z'T.