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Home My WebLink AboutBLDE-22-002884 Comunonanmeg o`l)/aaaacluaefta Official Use Only Mrr Apartment o`.ttt+r�itwkea Permit No. ,..• O Lk ,IOccupancy and Fee BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07j Heave Checkedb)ankl Cl ? 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK r- 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: ill Z( ti Y City or Town of: To the Inspect r of Wires: -- L--- 1 By this application the undersigned gives no ce ofhis or h intention to perform the electrical work described below. W ' .-1 ] Location(Street& >, � Number) l 5 i>�df 1� GIB) ate�, ti,/4 C.) c� Owner or Tenant e,c:- a i2/4( . .CIA ( Telephone No. gC) er0/0/(/3 W ` — Owner's Address �"' __ JW 1 Is this permit in conju,ction wit a bulidh g permit? Yesra No 0 (Check Appropriate Box) '-+` J Purpose of BuildingQrS l h 1 Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: : , `a, ^,A 1, t, - . , i ...i i . 4.tiA, AO CP fleS !i� 4{,J 4,, 42.-,4,,,;1,00,,, IQQ /deo , UQsSvc “A"teli..al� Co letion of the fai owing tab*abbe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii...Susp.(Paddle)Fans No.of ohi Transinrmers . KVA No.of Luminaire Outlets No.of Hot Tubs Generators K 'A No.of Luminaires SwimmingPool About in- No.or r mergeucy Liguria*grad. ❑ grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas BuNo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tom' No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Co n actiolif Olhei, Connection No.of Dryers Heating Appliances KW Security Svscros:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wirt : Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP No. Ririe : No.of Devices or Egoivadent OTHER: Attach additional detail fdesired,or as required by the Inspector of Wires. Estimated Value of lectr'cal Work: 1 // Of) (When required by municipal policy.) Work to Start: i / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ERAGE: 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 .i"age is in force,and has exhibitedproof of same to the eIa permit issuing office. CHECK ONE: INSURANCE Iii, BOND 0 OTHER. 0 (Specify:) I cerMfy.under ii. nd pie i ry. , re Information omtkis unpile on is true and courpletel y FIRM NAME: 1.� lb,- t e . .k.� l ,,.. LIC.NO.: l Licensee: say i Signature®��-1 LIC.NO.: y L !lfapplicable.( Jer t (' c e Win, t .lam ` (" s:Tei No.: �� 9 1-1c Adder' i .5 Alt.Tel.No.: 11 *Per M.G.L.c. 147,s. 57-61,security work -,uires Departmen/of Public Safety"S"License: Lic.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. 1 am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE:$ (DIA Tv ( A&t -4 Via) ,/ ' do a<r9/34° cam' 50"u' > Allis5440, Oc UU - (d4,1 1 rc til Alt- ✓fie dden t n A Duisev) l1/ / ' Official Use Only i' ommonwealth of Aim- _ .. /� Permit No. BLDE-22-002884 •L n.. -.4/. Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:11/18/2021 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 describedj�'�jbelow Location(Street&Number) 15 NORTH RD f i 5i5 Owner or Tenant Excell Real Estate 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 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: Addition for kitchen,2 bathrooms,recessed lights&replace devices. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Disposers Heat Pump Number Tons KW No.of Self-Contained No.of Waste Dis p 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 Ballasts Data Wiring: Heaters Stens 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) 0 owner 0 owner's agent. Owner/AgentAotr.44. 4114""-- -.16501.tkiM-- Signature Telephone No. PER 1. ,�,_`_n�!.,#, .