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Home My WebLink AboutBLDE-22-000134 Commonwealth of Official Use Only i_. Massachusetts Permit No. BLDE-22-000134 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:7/9/2021 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) 57 STANDISH WAY Owner or Tenant GREENE RONALD W Telephone No. Owner's Address GREENE PAULA C, 57 STANDISH WAY,WEST YARMOUTH, MA 02673 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: Recessed lights,outlets, &switches. 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 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 .%-1/4l" 6 1-1-4-{(2t tis7 )-L << (l. '2 C,,Z 12�S R E C V,_ D aalkellit•Mit ei Mmaseelseeeits Official use Only Permit No. cv,—d(.7 JUL 0 ;' a - Zp�ai+finedel ..._ Occupancy and Fee Checked BUILDING DE i BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/071 (leave blank) eve_.-------------- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MliC 7 12.00 (PLEASE PRINT IN INK OR Q�I,L,IN SRM ON) Date: l' / ( CM1 City or Town of: U� To the Inspector o Wires: By this application the undersigned g ves notice of his or e t •'. to perjform the electrical work described below. Location(Street&Number) 5 7 . 5-1 u-i $ I(C, Diner or Tenant Telephone No. Owner's Address Is dab permit le coatjunfilou with Yes 0 No% (Cheek Appropriate Bos) Purpose of Building IbCe-S irie. C4 Utility Authorisation No. Existing Service Amps / Volts Overhead 0 L'adgrd 0 No.of Meters Amps / Volts Overhead 0 t?adgrd 0 No.of Meters Number of Feeders and Ampacity _ Londe!and Nature of Electrical Work: t iq,$ // pve_C e-$Sec/ L 1 j_ 014 (`1-S' 1 Completion ofthefollowing tabk may be waived by the bweetor of Ores. Total Na of Recessed Lumin mires No.of Cel.-Soap.(Paddle)Fans Ra of Transformers KVA No.of Lumkuire Outlets No.of Hot Tubs Generators KVA No.of LuteaPow Above la- 'cion et?meaty u*eaty+uptupon� trod. 0 fly 0 Hmttesy lb , No.of Receptacle Outlets No.of OH Burners FIRE ALARMS [No.of ZonesGruel/din and No.of Switches No.of Gas Burners Na No.of Ranges No.of Air Cord. T No.of Alerting Devices No.of Wavle Dbpoaiecs T i Nttaaber iL `i---_ No.ee /,Self-Contained t No.of Dishwashers Space/Ares e/Area Heating KW Local 0 Mur' l"t' 0 Other No.of Dryers HeatingHeatingApAppliances KW ( ate: i wet of yes or No.of WHeatersKW No.of No,of Dots W Signs Ballasts NS of Devices or . , kat No. Bathtubs No.of Motors Total HP otahf De is No,of Devktw or ' .. • _. t OTHER: Attach adttaional detail((desired,oras required by the Inspector of Wim:. Estimated Value of a -- Work: yOO 00 (When required by municipal policy.) Work to Start: 0 ; , Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV- , E: Unless waived by the owner,no permit for the perlbrmance 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 . is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 014 BOND 0 OTHER 0 (Specify:l FIRMN • ander sic , .. of, - i ,eft � �ea ads�a true sad cesspit*. /' _t___ h .m.. Lie.ro::: /`7763Liteaaee: 1_0- Lit, a w Signature I_ 'L • C. eater ,�i� • Address: / 2_ 9A/'die .,00 '/�,�sa,.ao , '�,1-• Bim.Tel.No.: Alt Tel.Na: 'Per M.G.L.c. 147,s.57-61,security ,' requires e , . of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware •.. the Licensee does not have the liability insurance coverage normally requited by law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner w ner's agent. OwnerlAgSignature Telephone No. 1 PER fIT 1 $ 16-1"-- • -