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Home My WebLink AboutBLDE-22-007101 Commonwealth of Official Use Only V.': MassachusettsPermit No. BLDE-22-007101 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/8/2022 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) 12A&12B ROSEMARY LN Owner or Tenant JOHNSON NANCY L TR Telephone No. Owner's Address N L JOHNSON INVESTMENT TRUST, PO BOX 342, HYANNIS, MA 02601 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: Change panel, rewire living room, bedroom, kitchen, bathroom,.Etc. (UNIT 12-B) 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- I: No.of Emergency Lighting grnd. grad. 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal D 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 Siens 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 o1 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. 1 FiRM NAME: Peter Peto 1 Licensee: Peter Peto Signature LIC.NO.: 14763 (I/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,1 hereby waive this requirement. I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 q_,,( 1-- 7(Rtvv 06 e .?a-6 eagt To giierut- al Arbp Lke 7/ (2z REcEivED - �' J U N 0 7 20' 01 , Official Use Only J. • Permit No. -Z% - (7\ ILDINGEPARTME 4T D and Fee Checked ''•- " ' . VENTION REGULATIONS tRev.Occupan 1/O7jcy (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 2.00 (PL&4SE PRINT IN INK OR TYf$ALL INFORMAT ) Date: 61 (-- City or Town of: r Gti'�'�U'&.( To the Inspector o Wires: By this application the undersigne4 gives • of his, her intention to perform the el ical work described below. Location(Street&Numb! .) 2-,- k Os v\ Owner or Tenant L(, t t ,/r_ .Cfti r t,e s (-'v€.. L L C__Telephoge Na Owner's Address 7 is this permit in conjunction wit a « Yes El No a (Check Appropriate Box) Purpose of Building- i O� Utility Authorization No. Existing Service Amps 1 VeIls Overhead❑ t;ndgrd❑ No.of Meters New Service Amps 1 Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders sad Ampacity �_ ,, Location and Mature o t l Proposed Electrical Work: Gbli( h,teJe4 (A., 4-I 3/ v ° k-e— ui_. o_e____.of D .i,\_,, ' _'_.,-tA.A.6 1 )...t I)I.A.qi i Completion of the following table ma}•be waived by the Inwector of Wires. No.of Recessed Luminaires No.of Ceti.-Susp.(Paddle)Fans No anf Thal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Swimming Pool Above ❑ In- ❑ Na orkmergeney Ltglanng grad. grad. Battery units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 'No.ofieteefioa and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Kent Pump Number-Tons........ KW.._.. No.of Self-Coateii ned No,of Waste Disposers Totals: w . -'. Detectldn/Alertine Devices Municipal No.of Dishwashers Space/Area Heating KW Local 0 Cuenectiion ❑ Other No.of Dryers Heating Appliances KWS No.oofty wkee or Equivalent No.of Wafer KW 'No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Euivalent No.Hydromassage Bathtubs No.of Motors Total HP Teteco iation Wiring:of Devices 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: inspections to be requested in accordance with MEC Rule 10,and upon completion. LNSURANCE 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 co/ ;le is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Kt BOND 0 OTHER 0 (Specify:) I certify;under and: ;r. of�}nry, tat the on tdk*plkadors 1s true and complete. /f, ,l•3 FIRM N ��'(� E /-t' � � '� LIC.NO.: / `mil Ci Licensee: - (.:4C '-17-� ___A the ( LTC.NO.: Address a r,�escearp��{i"the't,{. +t r 1�Z c1 3 `�' Bus.Tel No.: b N Alt.Tel.No.- *Per M.G.L.c. 147,s.57-61,security woe requires Department 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$