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Home My WebLink AboutBLDE-22-002828 Commonwealth of Official Use Only �b Massachusetts Permit No. BLDE-22-002828 \ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:11/16/2021 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) 2 CYPRESS POINT WAY 4-[3 - Z3'7- 0 Owner or Tenant Bill Wyman 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 Existing Service Amps Volts Overhead 0 Undgrd 6>No.No.of Meters New Service 200 Amps Volts Overhead ❑ Undgi�lf� of ters Number of Feeders and Ampacity `/CVy�7 � Location and Nature of Proposed Electrical Work: Upgrade service. Completion of thefo ii a It a Inspector of Wir No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of v Total Transfor KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency 4. grnd. grad. 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 jnitiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 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 Euuivalen ___ _�. No.of Water KW No.of No.of Ballasts Data Wiring: Beaters 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 Wir 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:$50.00 i4 t(/ / v1rt CIts)ai L/AJJ R tife W o � Occupancy and Fee Checked > N . �, / BOARD OF FIRE PREVENTION REGULATIONS Rev. MJ7) a (leave blank) Ili ° - PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK U F O z I Ali work to be performed in accordance with the Massachusetts Electrical Cade - ). 27 CMR 12.00 w •4SE PRINT 1N INK OR ALL INFORM TION) Date: C 1 1 02 � ---- Cityor Town of: TYIXI rl at To the Ins ctor of Wires: ---�m .. :, • • application the tandersigned gnv notice a or her intention to t to electrical wank described below. Localism(Street& ) 1 f`C J`�'$` )l Ltd— W Owner or Tenant b.i l W1/1/Y1 at 1 Tel e No. V Owaer's Address Is this permit in toil j" a permit? Yes 0 No (Cheek Appropriate Bel) Papaw of Bolding C e,) CW'1n 4I )Utility Authorization No. Existing Service Amps , fitI Volts Overhead 0 tadgrd 0 No.of Meters New Service ,2yo Maps' of o Overlie ljadgrd 0 No.of Meters Number of Feeders sad Ampachy Location and Nature of Proposed Electrical Work: CAWIA Ce4Uf C-e-__ - 0 AO Completion elite foilowia table sow be waived by the Iaiacreir of Warms. No.of Raeeeemd Lumiindres No.of Ce11.-Step.(Paddle)Fans Traasforemen KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Abovrgeasey Llama No.of latminoins SwimmihB Pool and.e ❑ inkt I ❑ Of Noe'U No.of Receptacle Outlets No.of Oil Banters FIRE ALARMS No.of Zones No.of Switches No.of Gas Barters N°'IIaaut Dcva No.of Ranges No.of Mr Cond. TToss No.Of Alerting Devices No.of Waste Disposers : Number(Togs_ PlisDe ,, apevkei No.of Dishwashers Sp.c elArea Hating KW Ladd D��"''i 0 Other No.of Dryers Heeling Appliances KW ee virity No.of Waiter k.,W 'No.of No.of Na lrinv C adet Heaters Sivas Balbnsbs of DI,. or t Na nwts Hyd a Bathtubs No.of Motors Total HP T ' ' No,of Devices ort OTHER: ' aih additional derail O'kz1 4 or air required by the inspector of Wires. Estimated Value Work: �-� (When requited by municipal policy.) Work to Start I 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 .y ., is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE t►: BOND 0 OTHER 0 (Specify:) I cam+,Nader s and '71 the ., , '-'on this application is nose and___ trry� el�' C ` e4 '-',,figSIC.NO.: ( -1 3 — [si • Signsatarc 4111111nI��► LIC NO.: (U. ,, al...._ ,� ~,y On *weber Naar l q _ `, c u 4iL TeL No.: •Fa M.a c. 147,s.57-61.securityc l� V`tee Ali.TeL Nac Inquires o Palle Safety"S"License: Lic No. OWNER . SURANCE WAIVER: I am aware that the Licensee dogs not hare the liability insurance coverage normally required by . By my signature re below.1 hereby waive this requirement 1 am the(check one)0 owner 0 owner's agent Owner/ Slanatare Telephone No. I PERMIT FEE:$