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Home My WebLink AboutBlde-22-002027 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002027 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:10/8/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfo electrical work 'bed below. Location(Street&Number) 176 SEAVIEW AVE Owner or Tenant 'telephone No. Owner's Address 176 SEAVIEW AVE, 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 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Reloccate meter, install recessed lights, remodel bathroom&kitchen, &replace HVAC. 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. rnd. 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 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 Ballasts Data Wiring: Heaters Signs 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 my signature below,I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 trq2.I1)) Cs� i s Official use Only r 2,7 �CT �: l- " Permit No. Z' 26 I11 F, t; '::". ::#\' ' r.:r" y; � �r �� -C•4►uw �� ' OF FIRE PREVENTION REGULATIONS [ OccRev. pancy and Fee Checked BUILDING D /,ENT t K17j (leave blank) By' A ATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(M. V27 cmg 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: To the 1 or of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street R Number) /7 C .Sec 1.4z w 4 v Owner or Team (ii,iri A,p y Telephone No. Owner's Address ?7--1 (.u i!x Is this �Building �S 1 rh a ll�rmitt Yes 0 op (Check Appropriate B�) UtilityAuthorisation No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters betService Maps / Volts Overload 0 Vadgrd 0 No.of Meters Number of Feeders and Ampacity // Location and Nature of P Electrical Work: ov r IYl i p,,- F a h, //f'� s" e ,` L ,,Aq u°, reolLji ( CeicCl. li �Co_Iac,:4i tv,(st\ ig4a, dddi. 4elat..�� 044 kidJ�,iI4/�lu,h4e - / Conrrietios aftheAdlowtt table be waived by the hrspertw of Wirer.of �f C No.of Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans Trs rows KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Lamm�bta Swimming Pool Above ❑ I ❑ !Wien Valk No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No. on sad of Switches No.of Gas Burners No.laniodon Devices No.of Ranges No.of Air Cond. Tat No.of Alerting Devices No.of Waste Disposers HeatTotals:p Number-Tons,_,. KW __ No.of Self-Coot ed ices No.of Dishwashers Space/Area Heating KW Local O C. ire 0 Other No.of Dryers Heating Appliances KW rrectiesi Security fin or Easivakat No.of Water k.W No.of No.of Data W n Heaters Signs &Masts T Ns, a Meat No.Hydroma ssage Bathtubs No.of Motors Total HP No,of Devkuer 4ir Fw► t OTHER: Attach additional detail((desired,or as requited by the Inspector of Wires. Estimated Value of Work: (o,- 09) (When required by municipal policy.) Work to Start: /J 08 -L/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V 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 `,1m • is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cam,under of ,foaldoe won en dale ap plkadon le nue and complete Ili`� (I� FIRM NAM.... ..,d -e( ec-I- 11 C I ot� LIC.NO.: 1 `'i 1 ✓ Licensee: -k&4- je) Signature ` LIC.NO.: lf applicable,Addr+esz �arern limrelitA 0 Jt )' '1 '� S .Tel.No.; 4� AM.Tel.:Ye.: *Per M.G.L,c. 147,s.S7-61,security work rhos Department of Public Safety"S"License: Lie.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 ❑owner's agent. Owner/Agent Sipsture Telephone No. I PERMIT FEE:$ '25'— L/L- -r�- L I i 1 s 0.2-63 i TJ0 e.J2 ,--kcL/A„ r )(I /63 3� � WoGl w icyu r � v 1 61-e� col T i ui o\ AbLk ', ?ciAm4- CCUv\Ce_I-b-c\-:10 . 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