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Home My WebLink AboutBLDE-22-002302 AZCommonwealth of Official Use Only TA Massachusetts Permit No. BLDE-22-002302 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:10/21/2021 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 described below. Location(Street&Number) 223 WEST GREAT WESTERN I Owner or Tenant CARDER MONROE NILSON CO-TRS Telephone No. Owner's Address CARDER JAMI CHRISTINE CO-TRS,223 WEST GREAT WESTERN RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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: Remodel basement, bedroom, living room, laundry, bathroom,&kitchen. 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 Ton No.of Waste Disposers Heat Pump Number Tons 1 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 Ballasts Data Wiring: Heaters Signs 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 ofperjury,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/Agent Signature Telephone No. II PERMIT FEE: $75.00 ufa t 14,4 W- - 1,((lizz__ 4oMuwonsvoa ah.of//loastasuo Efa Official Use Only OCT 2 i- i�t o jam.S Permit No. lei BUILDING D E P +.r T BOARD OF FIRE PREVENTION REGULATIONS OvcuP0Y Fee Checked[Rev. I/U?j (leave blank) ej - ��3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M- ),527 R 12.00 (PLE4SE PRINT IN INK OR TY ALL INFOR�ON) Date: /0 .2-0 024 City or Town of: ar-h1/O To the Inspe or of ires: By this application the undersi gives noti his or her' tention t perJf o/� lectrical�fibed below. Location(Street&Number t a Owner or Tenant 'J 4..-?i° Telephone o. Owner's Address Is this permit in conj nction,wi��h a ba rmit? Yes 0 No ' (Check Appropriate Box) Purpose of Building KQ i GK�i�c / Utility Autho don No. Existing Service Amps / Volts Overhead 0 C'ndgrd 0 No.of Meters New Service Amps I Volts Overhead❑ I'ndgrd 0 No.of Meters Number of Feeders and Ampacity ` _ L, �tion and Nate P lee ' 1 Work` r'�uf 0 e i be?,* (i,lee4 b roo u,i� } / 1 Cmnptetfal- of thefollow:o wbte tont,be waived by•the/ o t tell r of Wires. No.of Recessed Luminaires No.of Celt.-Soap.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Swimming Pool Above tn- ❑ No.of Emergency Lightinggrad. grnd. Buttery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones Na of Switches No.of Gas Burners No.of(Wafts and Titer Ini#iatiag Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Deposers Heat Pump Number Tons,_ _KW -No.of Self-Contained Totals: "_"."" ".�� ""' DetectlostAlerting Devices No.of Dishwashers Space/Area Heating KW Local naicipal ❑ C Maec#ion 0 tither No.of Dryers Heating Appliances KW Security ms:b No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent N`t - No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications . No.of Devices or Ennivalent OTHER: Attach additional detail(fdesired.or as required by the Inspector of Wires. Estimated Value of lec 'cal WorkKI-19° (When required by municipal policy.) Work to Start: 10 13 —2-j Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E GE: 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) f ecru,ander an o fury, at t ittfonnation on the n le tree and ronpl u t r FIRM N EE .NO: [ (D Licensee ,; Sigaata f IlfgtAntic� exerp l<IC.NO.: "qyi 6 W fe th `vl Address: l • f' It � Bata Tel.No.• *Per M.G.L.c. 147,s.57-61,securityirkAlt.Tel.No.: requires Department of Public/Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance requiredlaw. Bymysignaturerequirement. (check coverage normallyer'sa O by below.I hereby waive this ham the one)[ owner ❑ouster"s agent. �rAgent SigTelephone No. I PERMIT FEE:$ �,S—' I