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Home My WebLink AboutBLDE-22-007099 IN Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007099 ° � , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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/N 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) 40 SWIFT BROOK RD Owner or Tenant MONIES ANGELICA M RAMIREZ Telephone No.Owner's Address 40 SWIFT BROOK RD, SOUTH YARMOUTH, MA 02664 ^� Is this permit in conjunction with a building permit? Yes ❑ No 0 (Chec' v t i riat Al V FJ Purpose of Building Utility Authorization No. V Existing Service Amps Volts Overhead ❑ Undgrd ❑ , i aiso New Service Amps Volts Overhead 0 Undgrd 0 No. . Number of Feeders and Ampacity O I &'?Location and Nature of Proposed Electrical.Work: Wiring for hood fan. O i Completion of.the following table ntav be waived b .p• .tor of Wires. 4 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ill I Transformers A 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 ,_i 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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. t 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 1 is in force,and has exhibited proof of same to the permit issuing office. —d 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 (!/.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 / ,.., ......... t RECEIVED n�M Official Use Ohdj q * UN 07 20 a (22 .c/7'�� Permit No, -- / Occupancy and Fee Checked \, j -D 1 NBOARISROVEPIR PREVENTION REGULATIONS (Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ovAL_ All work to be performed in accordance with the Massachusetts Electrical Code( ). 27 12.00 (PL&4SE PRINT IN INK OR TY ALL INFORis , TION) Date: 6 7/2 fi City or Town of: T . ' To the Ins ctor of Wires: By this application the gives notice of his or intention to perform the electrical work described below. Location(Street&Number) 'O .S w i $ Z?0 viz,O( Owner or Tenant . T t ok • of I7iZ Telephone Na Owner's Address b thb permit �^ tt Yes ❑ No (Check Appropriate Box) Ptupast Building w � n a f Utility Anthorizstlon Na Existing Service Amps / Volts Overhead❑ Vudgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: UJSA J�-0 11 ( 21 kVG1004,11 . Completion of the following tubk may be waived by the/trspe Total of if ires. No.of No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans Transformers tfVA Na of Lutnlnsire Outlets No.of Hot Tabs Generators KVA Na of Luminaires In- Swimming Pool Above ❑ In' ❑ tvo.ot"Lerergency ti grad teed. Battery L nits 1 Na of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches Na of Gas Burners 'Na of Detection and lnitiatiat Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Hest Pump 1�Number T KW_ 'No.of Self-Contained No.of Wute Disposers Totab:I_ -- —4�._ _. __—lDetection/Ale f I:, Devices Na of Dishwashers Space/Area Heating KW Load 0 timid owtect 0 Other C No.of Dryers Heating Appliances Key N5ecurttv Na of Devices or Eauiivak+tt Na of Water KW No.of No.of Data Heaters Ballasts Na of Widow lees orEquivalent Mtt Na Hydroetamage Bathtubs Na Tekcomru anicalions of Motors Total HP Now of Devices or Equiiv et OTHER: 4-S7-0: -, Attack additional detail((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. 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 c, ,; is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE /. ' BOND 0 OTHER 0 (Specify:) I cede,ands r and , . of perjury,bleeps toe lnfartaion on rusts ap Is tare and complete ; , / :-, FIRMNAME: �� !f:-c i) ` ) LIC.NO.: i � Licensee: Sigaatere LIC.NO.: f(fePnikvble. tp�� Bu.TeL No.: Address: 2- _ lne./ AIL Tel.Na: 'Per M.G,L,c. 147,s.57-61,security requires Department of Public Safety"S"License: Lit,No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally O re uked by law. By my signature below.I hereby waive this requirement. 1 am the(check one)0 owner 0 owner's agent. Signature Telephone Na I PERMIT FEE:$