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Home My WebLink AboutBLDE-23-005318 P"\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23 005318 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:3/28/2023 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) 18 AUTUMN DR Owner or Tenant SCOTT BRUCE Telephone No. Owner's Address CIO REID ROBERT H, 18 AUTUMN DR, 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 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: Miscellaneous work per attached. 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. Tons Tota No.of Alerting Devices 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 ❑ Municipal Connection ❑ Other: 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. I PERMIT FEE: $75.00 tIs(2 11/43-1P (Spirt t 99 LA10( 3 NVA (\Ge-0i404 L\N) aA" 7 ?--'1.-z-.'3 ? V 5o (g„,,,,vaz- 40 LA] gorotto LREC ' IV-ED -a.. Nieft o Use O -- 23aviag No. t ,� - 3 tOccupancy and Fee Checked ILDI +\� r RT OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) I " - ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade ).s 7 CMR 121)0 (PLEASE PRINT IN INK OR TYPE INFO TION) Wet 3 / � . -?2 City or Tows of a t'vli/i.4.� To the inspector of Wires: By this do n the tusdersigned gives notice afhis hier intention to perform the electrical work described below. Location(Street&Number) / 8 A i't t v1+.l Owner or Tenant VB C.(A3w nY1 Cr-'P-e.n- V. n c Telephone No.5.-08—3 Cw --?s—L57 Owner's Address Is Olds permit in eoajmnctiarEG per Yes 0 No in (Cheek Appropriate Box) Purpose of Rest ( l I Utility Aathorlx*Nwt No. UMW Service Asepa I Volts Overhead 0 U'sdgni 0 No.of Meters killaiiltet — AlgPs / Volts Overhead 0 Uodgrd 0 No.of Meters Number of polders and Aapneity 'Arid"and Niters of Proposed Electrical Work: 3cttt i,t. rC.Lti . aki VCIAAtAlj C1, - n fie > ai 1 . iv1-fc h (CSced i't Ii I 1 compietion of NoarI� valved by the haoetior Qr.W/ . No.of Rimmed Laashnaires No.of CeILSosp.{Padre}Fans - Total ynnairmen KVA No,of Lamirudre°idea No.of Hat Tabs Generators KVA Above la- Ono.in g�Y using No.of S Peal mil. _Y vrad. LI Ups No.of Receptacle Outlets No.of OR Banters FIRE ALARMSINo.of Zones Na.of Swkehes No.of Gas Bunters No.hddadaaDovites Total No,of Ranges No.of Air Cond. Tons 'No.of Alerting Devine No.of Wass*Dbposers Heat Pusp Number Tom_ KW. No. f tf3eiC orttained irsied No of Dishwashers Spite/Area Heath KW Local 01, 0 !rii 0 Ocher No.of Bryon Heater Appliances KW Nativity of or Eat+ btart No.of WHeaters of No.of Data'With* KW Na d oakte skit No.Hyde Bathtubs No.of Motors Total HP , No,of Devices or OTHER: Attack additional d'otad.fdesirnl,or as required by the Inspector(Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Stall: 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 gootof liability including"completed operation"coverage or its substantial equivalent. The taidersiOed certifies that such coverage is in face,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I co*, of peslany,that he#fereation mask appliation is are and emplait. -�, FIRM NAME: `r elke^r t lk,C- rC-t LUC.NO» C 7E ._3 7 Rr 'P Signature CAL.k..11-1.....) LIC.NO.:,..._,, y _ license*ember tf O Bin.Tel.No.' _ l L t. Address` L " " '1-04-U S Alt TeL No.: *Per M.G.L.c. 14',s.57-61.security worlt �s Dmmt of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am awn that the Licensee does not hare the liability insurance coverage normally milked by law. By my signature below.I hereby waive this requirement. I am the(check one) owner Q orrnr's agent. Owner/Agent Telephone Na PERMIT FEE:$ 2 S— 1