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Home My WebLink AboutBLDE-23-001151 or s, Commonwealth of Official Use Only i: '' Massachusetts Permit No. BLDE-23-001151 11107 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:9/1/2022 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) 95 PINE CONE DR Owner or Tenant HAYES DANIEL F Owner's Address HAYES MARCELA M, 11 DARLENE DR, SOUTHBOROUGH, MA 01772 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service AmpsgNo.of Meters Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 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 No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ nr ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units p No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW N .of No.of Ballasts Data Wiring: Sis No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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, er ury,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.) Address: 132 Wintergreen Ln, Brewster MA 026312258 Bus.Tel.No.: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety 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/Agent ) 0 owner 0 owner's agent. Signature Telephone No. i PERMIT FEE:$85.00 CoMassachmmonwealthusetts of Permit No. Official Use Only 0 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:9/1/2022 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) 95 PINE CONE DR Owner or Tenant HAYES DANIEL F Telephone No. Owner's Address HAYES MARCELA M, 11 DARLENE DR,SOUTHBOROUGH, MA 01772 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: Wiring for hot tub. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices To No.of Waste Dis posers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alertine Devices Space/Area HeatingLocal 0 Municipal No.of Dishwashers P KW Connection ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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 LIC.NO.: 14763 Licensee: Peter Peto Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 132 Wintergreen Ln, Brewster MA 026312258 *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: I $85.00 i Cit C al 11 ( ZZ 1/6 RECEIVED ;1". ------- y9 wwfsRk of y1� � Official Use. iYC' _ A ,r C,a�une /s! Permit No. "� ( J ,AUG 3 0 2022 �j 34.3ama y� p - ,,:c 51 rBO FOP VIRE PREVENTION REGULATIONS [Rev. 1Occu i07jancy and Fee Checked (leave blank} C, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK °'C) All work to be performed in accordance with the Massachusetts Electrical Code{ 527 R 12.00 (PLEASE PRINT IN INK OR TYP��E�/�LL INFORM% f ION) Date: ( 3�) a'2 City or Town of: f U."" I To the Inspector o Wires: By this application the undersign Ives np4ce of his or her intention to performt the electrical work described below. Location(Street do Number) � -- (_l O 1A'e Gam" Owner or Tenant 1) ok,AA d A ck...Z 'e-- Telephone No. Owner's Address Is this permit in conju Lion with builds permit? Yes 0 No a (Check Appropriate Box) ' Purpose of Building k,Q, C� h� 00 Utility Authorization No. Existing Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters LNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity / ��'� `Z.i Location and Nature of Proposed Electrical Work: . -0 ' („0/ Completion of the following table arch be waived by the inpector of Wires. No.of Recessed Luminaires Na a#Cell.-Snap.(Paddle)Fans Transfformers Total . No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires SwimmingPool Above ❑ grin; 0 1xo.of l6tuerAene}"Piing gnn gl Erud grad Battery t nits No.of Receptacle Outlets Na of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.i Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons °tab No.of Alerting Devices is Heat Pump Number Tons. .... KW 'No.of Self-Conta(ned No.of Waste Disposal Totals: Detection/Alertinu Devices No.of Dishwashers Space/Area Heating KW Local 0 Connectlwin 0 Other No.of Dryers Heating Appliances KW Security ms:* Na of Devices or Equivalent No.of Water MYNo.aimNo.of llofts Data Worms: Heaters Signs No.of Devices or Equivaknt No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wittig: No.of Devices or Equivalent OTHER: Attach additional detail("desired.or as required by the Inspector of Wires. Estimated Value of l Work: (When required by municipal policy.) Work to Start: _ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 w,v rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE !' BOND 0 OTHER 0 (Specify:) 1 certify,under tit I, : :, ofJury th information onnthis application is true and complete(i 76 3 3 FIRM NA E: e / LIC.NO.: Licensee: a Signature LIC.NO.: �/z-i 6 -- (lfapplicabl,e e K"exe J7th Ii se ' r line. Alt Tel.No.But.TeL ;'l 711 r Address: c...h a w *Per M.G.L.c. 147,s.57-61,security wo requires De nt of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Telephone Na I PERMIT FEE:S Signature _._ ._ ---- q 1 Li 5