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Home My WebLink AboutBLDE-23-002830 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002830 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:11/22/2022 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) 737 ROUTE 28 Owner or Tenant JENIA DaSILVA Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead El Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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 Eauivalent 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 Eauivalent 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: $80.00 Aile C I cc✓ S� 12�2z�51 04- t2/zc/2 /1.� 000 RECEIVED -- - -, Maid the Only NOV 212022 Permit No. ;-23-2g 3-0 't iA. °- if jig S406/04 Occupancy and Fee Checked lB6A4k FREVENTlON REGULATIONS Rev (leave c APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Ma ardheeW Electrical Cc },�527 MR 12.00 T (PLEASE PRINT IN INK OR INF ON) Date: Ili) !) I 2-9- C ►or Tows oof: `(a �M JokA tA To the Inspector of Wires: By this application the undersigned gives notice*this or her mteotion.tortm the droned work described below. tsatdet(Street Si Moist') r1 r it-1({ j �� Owner or Taoist �.1 E'-111t c I)0%. S I `-/CN- Telapiooe Ne. Owner's Addews Is this permit in eeaj We it MIAs p ...Ji? Yes 0 No la (Cheek Apprepriste Bea) Purpose of Bawttg tM VA elf Cat ek 1 Utility Astbsriaedoe Na EsPstieeg Scrubs I() Mogen ,f Z') / A?Vda Orerkud,. Vedg d 0 Na of Meters Plow Service, ,79,0 0 Amps j 29 /2.-1C0v ills Overhead 5, Undgrd 0 No.ofAeters Need of:Redoes and Awe* / dad Nature of, Electrical Work: c d)CC44 ( -.. .ce-yvl c e— 1 iA S-1 I, Puled,to e_( cu,,c1 o Aul a,,, / . f Completion ofthe ibilowifte go be wahvd by the Igor elf Wires. No.et Rimmed Laala*es Ne.of Ce l-Sesp.(Pare)Face jai KVA Na of l %deft 1ft..Olio Tabs GOSISIMIS KVA No.eti p ,1 Above ❑ ❑ haw Wt. Ne.etReeepteek Outlet Na of 011 Burners FIRE ALARM Ns.of Zases ofnetteas and Na atSwiteia N o.et Gas Barters Initiation Beviees nd et Reeves N o.el Air Cant e.afAk .k Boykin - Na of Waste Dimmers TPump e � � T -- "--'Na eiseP€�`.ethiae�l Ne.et Db remisers Spea1Arrt Hestksg KW Load❑ ❑ Olin' Ns.of Dryers Heating Appliances KW , ' Ne.ef Na etWater ,,. a ef Ne.of „tip Heaters Ia 801 a 2t Mt Ns.Rydnimmusge Bathtubs Ns.of Meters Total HP t OTHER: ,taarb aat�ibtarea/Brasil O kme r,ar tier„ryrre,rd rtW,lee/arpecws of wtnr.� Estimstod Value of Electrical Work: DaC) (Wltan required bymunicipal policy.) Work to Start inspections to be requested in accordance with MEC Rule IQ,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may inane unless the licensee provides proof of liability insurance including`completed operation"coverage or its substantial equivalent. The Prodded certifies that such is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specik) I ewer,auerir►t asd�re s�f ,eat the 14 rststisee are Mk�iicertme k bile del one 7 nag N, C-t r ( ._-t--f,f t hC,.l LICPNO« / LI 76' 1) Licensee: c. o i_e 1 LIG.NO.: (Q"eppi cable.rimer" b lfaoase ember Bus.Tel.Ne.L 11� 21 - `J f 4 Ammo: 13 z ` t'ii 1' )S1'� Ain:Tel.Na:Ka: *Per M.G.L.c. 147,a 57-61, work requires DepmIment of Nike Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am more that the Licensee doer wee hare the liability insurance coverage normally requiSed by . By my signature Wow.I Pterdr r Mk remirentent. I=1=(ch=k out)Q owner v ma's amass. OreselAgeet SipNure Tekpiesc Na I PERIM'FEE:$ doe. P✓ PwEa Air ExPvs,v �^+Er,4L_IA7-iX w9 144 v6T ne-rlc O7OsL,Gss-