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Home My WebLink AboutBLDE-22-000133 . 0 ttyi. 1o>\4 Commonwealth of Official Use Only _ Massachusetts Permit No. BLDE-22-000133 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 nohce of his or her intention to perform the trieat work described below. Location(Street&Number) 441 BUCK ISLAND RD UNIT HE .k_j- 9 Owner or Tenant Jose Pereora Telephone No. Owner's Address 441 BUCK ISLAND RD UNIT H5,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: 2 bedrooms, 2 bathrooms, &recessed lighting. 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- ElNo.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 e-61."61 7111/ (e0AeK 40k1 ->77249,P60 cwas=((v4-ii- 14/(AT a&_.`-Filo MIN oC, 470044_ /ol u RECEIVED -c--'`--tT 16, LJUL 08 2021 at�` /�//�� BUILDING DEP. . ^'=�y ? Commonwealth of///addaclaudettd Official Use Only By � , - _" t `� o /�/ '1R; n n Permit N j f „iz• 6 epartmenf(21 giro Serviced ,;;1,1;' Occupancy and Fee Checked .,tr iI BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07) (leave blank) 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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio to perform the electrical work described below. Location(Street&Number) �{ /1 4 Uc 2s1p,�.d Ai 1 5 Owner or Tenant rO3 . Alvtilia ri k ?ei'a-c'2 Telephone No. 603 IS'bLSg, Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Elec trical Work: za641.00 M Z k�.lv,Ddih/ fie y�„ 1J ),IViPCc .,ied Ltil,,I iptsikl`c,Lio+a } Completion of the followinvable mD,be waived by the Iis ector of Wires. No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total of Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs - Generators KVA ,i Above ❑ In- No.of Emergency Lighting ' No.of Luminaires Swimming Pool t~rnd. and. ❑ Battery Units '` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones ' - No.of Switches No.of Gas Burners —No.of Detection and `r Initiating Devices tota `• No.of Ranges No.of Air Cond. onsi No.of Alerting Devices No.of Waste Disposers Heat Pump Number'Tons 1KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ other No.of Dryers Heating Appliances Kam, Security Systems: No.of Water No.of No.of Devices or Equivalent Heaters ' Na.of Data Wiring: 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: (p 0® 0 (When required by municipal policy.) Work to Stan: (Oyt_08-2( Inspections 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 IA BOND 0 OTHER 0 (Specify:) I certify,under the pains and pen, tie of perfftry,that the Information on this application is true and complete. FIRM NAME: ' -c LIC.NO.: (''(76 Licensee: „M Signature a�a LIC.NO.: (If applicable,enter"exempt"in thpflicense number�line.) Address: f 3 7 ( - �. v ts � _" Bus.Tel.No.. Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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)0 owner 0 owner's agent.Owner/AgentI Signature Telephone No. I PERMIT FEE:$ - s—