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Home My WebLink AboutBLDE-22-007302 -�_ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007302 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:6/21/2022 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) 100 POMPANO RD Owner or Tenant HUANG LILY L TR Telephone No. Owner's Address THE 100 POMPANO RD RLTY TRUST, 100 POMPANO RD,YARMOUTH PORT, MA 02675 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: Electrical demolition `" 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- ❑ 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 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 0 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 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 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: $50.00 r R E C E I ,..E D �,� Official Use Permit No. l/�i2� l (J v JUN 2e , ,E•/ SiniCad Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/O7) peeve blanks BUILDING DE - 1----'APPCIIATION FOR PERMIT TO PERFORM ELECTRICAL WORK All v+ork to be perforated in accordance with the Massachusetts Electrical Code(4EP.,5V C'i►1)R 12.O0 (PLEASE PRINT IN INK OR 7W ALL INFORMION) Date: G / co( 2- City or Town of: M Yv ° 1e17 To the Inspector of Wires: By this application the undersigned gives noticelf his or her intention to perform the electrical work described below. Location(Street&Nu ber) ( (P d (O X L-L ) p_ o( — Owner or Tenant ) IvQ J4)5 Liar tik, Telephone No. Owner's Address Is this permit in eoij n with a building permit? Yes ❑ No ESL (Check Appropriate Box) Purposeof Balding Q S c cLf C \ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 Na of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Ekctrleal Work: E �" �'3-, cc / °be/Iiv.o I '4 a Completion oft*follmrinyiwbke may be waited by the ls�of Wires. No.of Recessed Lrnuisaires No.ofCelL-Swap.(Paddle)Fans Transformers KVA No.of Lmosiaalre Outlets No.of Hot Tubs Generators KVA Na of Lominaires SwimmingPahl Above In. no.of emergency upon, ' mod. grad. ❑ Battery Vohs No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches No,of Gas Burners No.itDetectloa and Iaidatiasz Devices No.of Ranges No.of Air Coed Tows No.of Alerting Devices Na of Waste DisposersHeat ip Number TQns_...,KW,_ Na of Self-Contained Detection/Alerting Devices Na of Dishwashers Space/Ares Heating KW Local 0 Mlunkipal 0 Other aect�oe No.of Dryers Heating Appliances KW P'Sec;Hty , Na of er Eaaitr eat No.of Water k. . No.of No.of Data Whin Heaters Signs Ballasts No.of Devices or ulvaket No.Hydremassage Bathtubs No.of Motors Total HP 't"elNoasntatv r R err�� Na et Devices o ices or Edtuira7ent OTHER: 1 Anise*ad"rtiosal 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 I is in force,and fats exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE :1 BOND 0 OTHER 0 (Specify:) I curtly,Nader atmi;� :, rf ,that the �a sins eppplkution Is true and complete. . ) f7 FIRM NAME: (-c_ (. -(:.,.,i t C- — LIC.NO.: '14 7 (2 Liaises: ` `f"L' ( 2- Signature t �.1�LW.NO: t(fapplicable. ;Odle*rue list.) )Bus.Tel.No.: Addr+esze I W I i..(. 1 5 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security tic requires De�rtment of Public Safety"S"License: Lie. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally requital by law. By my signature below.I hereby waive this requirement. I am the(check one)Q owner 0 owner's agent_ OwnedAgent Signature Telephone Na I PERMIT FEE:$