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Home My WebLink AboutBLDE-21-005455 Commonwealth of Official Use Only 0Masst- achusetts Permit No. BLDE-21-005455 ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • lRev.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:3/23/2021 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) 737 ROUTE 28 Owner or Tenant BHATT MAHENDRA R Telephone No. Owner's Address BHATT KOKILA M, 891 ROUTE 28, SOUTH YARMOUTH, MA 02664 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 ❑ 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: Fix wires on ceiling&add 4 recessed lights. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- I: No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other Security Systems:* No.of Dryers Heating Appliances KWNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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. 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 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $75.00 I Signature Telephone No. (9p 9 (I /r7-4 astantaavaiii ai Masitacktogitts Official Use Only Permit No. t`_.21t. —:94 BOARD OF FIRE PREVENTION REGULATIONSOccupancyand Fee Checked 4. [Rev. Iro71 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massmthusetts Electrical Code 1,527 CMR 12.00 (PLEASE PRINT IN INK OR TYRE .I.INFORM 17 N) Date: '0/2- City or Town of alitAxdou,-4 11 To the Inspector of Wires: By this application the undersignedlives notice of his or her intention to Pmform the electrical work described below Location(Street&Number) 3 7 HaA vl 5/-. K- , d2 i Owner or Tenant Telephone Na Owner's Address Is this permit hi conj i n w apermit? Yes 0 No (Cheek Appropriate° ° � �-t- " pp matt Box) Purpose of Baling Kest' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Amp acity Location and Nature of Proposed Electrical Work: `/A' j,(.,1 ke S c 9 k c..e_t.t' 'u era id �t Re c . L-T Compieuen edit.following iubk may be waived by the Inane Inatector O.Wires. No.of Recessed Lnrsdattires Na of Ct .Soap.(Peddle)Fans Transformers firs Total KVA No.of Laminair a Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 in- 0 No.of U 1l metReaey�b Liming grad. i~r'ad. ibattery No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners lffo.of Detection aunt No.of Ranges No.of Air Cond. T I No.of Alerting Devices No.of Waste Disposers Heat Pump Nei*TomTotals: ._.. I►',._....'No.of gelteat ,ices No.of Dishwashers Space/Area Heating KW Local0" "gin CI Other Na of Dryers HeatingKW Appliances Securityo. �or Uaaaivakat No.of W 1�' ' No.of No.of Data Wiring: Heaters Signs Ballasts Ng.of Devices oar a lent No.Hydromassage Bathtubs No.of Motors Total HP Te o Devices or,ale, at OTHER: AttackteMlsknal detail tide: eit or as required by the Inspector of Wires. Estimated Value% Work: (When required by municipal policy.) Work to Start: S 2/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE, BOND 0 OTHER 0 (Specify:) I cue,under and of ,that the i forrnatros ON this application Is true co mplete. / 15 FIRM NAME: -2C-{-'Y'l Cl C� L1C.NO: (9 i b 3 Licensee: Signature I 1 LW.NO.: tlfapf licabt j� lice IV j,./ Bra.Tel.No.. Address: ' .L� IA ° ' ' t4 1-15`b-eAxi--S6'� Alt.Tel.No.- *Per M.G.L.c. 147,s.57.61,security work-wires Departinen t 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 requited N law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. OwneAgent Signature Telephone No. I PERMIT FEE:$