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Home My WebLink AboutBLDE-22-002826 ,. Commonwealth of Official Use Only -,E116\ Massachusetts Permit No. BLDE-22-002826 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:11/16/2021 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) 1117 ROUTE 28 Owner or Tenant BUTT M HANIF Telephone No. Owner's Address 341 SUMMER ST#1, SOMERVILLE, MA 02144 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropri e ox) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of New Service Amps Volts Overhead 0 Undgrd 0 No.of Metera Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re-install meter socket&make building safe. 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- ElNo.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 ❑ 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. 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 ' G iiTtr (Nor (A-Cr atuk 7 n) '2-/e/zi k Pa. oa C0 .V..4c 0/mmea ,ems Official Use Only .sP:ar etches.Fa_7t al Remit No. �� vrZ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev.I/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 All work to be performed in accordance with the MassacMuena Electrical Code(M•C).527 CMR 12.00 0 ,I13144SE PRINT IN INK OR TYLL INFORMAT ) Date: l/ (.1 L/ LLI l City or Town of Ct Itit O To the 1nspe or o Wires: ?Ii N �y is application the undersigned v notice of or intention to form the electrical work described below. { ties(Street&N r) i/ R O G e_ 2 c'� 'L � LL)1 • r or Telmat / `o ohm -v,e C( ti-- 14 7-119 Telephone No. O O ° 's Address L! Z 1iti permit in minlutIntlits with a beading permit? Yes 0 No K (Check Appropriate Boa) Ce of gamin141 C.4� C / (utility Authorization No. " Ex-gibes L-q�OO Amps /2d Ih}Volts Overhead, Uts*ad 0 Na of Meters New Service - Amps / Volts Overhead 0 Lis hgrd 0 Na of Meters _ Number of Feeders and Ampseity Lea ssdNatareot Eke Work: 12e1t,( iget/ • VL ,S-06 --e-i`, Coaptenao older followi ad*sw}•be*Mrid by the ls+pecror of Wires No.of Recessed Luminaires Na of Cell-Snap.(Paddle)Fans T of ehl Tr K No VA Na of Luminaire Outlets No.of Hot Tubs Generators KYA Na of Luminaires swimmingPool Above In- No.oI Emergeney Ligation tend t rod Battery t nits Na of Receptacle Outlets No.of Oil Burners FIRE ALARMS Na of Zones Na of Switches Na of Gas Burners ?Nu of Detection and Ialtiating Devices No.of Ranges No.of Air Coal Tooasl No.of Montag Devices Na of Waste Disposers Totals: Pump Number T I�(q+ sat o.of Self-Contained Totals: " =T"" De ectloa/AIertinj Devices Na of Dishwashers Spate/Area Hating KW Local 0 ConlMnaalCtlkfiglea 0 Other No.of Dryers Heating Appliances KW Security Systems: Na of Devices or Ecodval st Na of Water Kµ, No.of Na of Data Wiring Haters Signs Ballasts No,of Devices or Equivalent Na Hydremassage Bathtubs Na No.omm of Devices of Motors Total HP "fe r H7nss or Egaiv at OTHER: Attack additions!detail(fdtsired,or as required by the Inspector of Wires. Estimated Value of Work: (When required by municipal policy.) Work to Start: 11 /2 ' l Inspections to be requested in accordance with MEC Rule 10,and upon completion. LNSURANCE C VE 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0(Specify:) I ,aader anal of ,gat the hykeamwa an this applkadoa to mu old complete FIRM NAME: n'6/ LIC.NO.: 111763- y Licensee: Signature I - LIC.NO.: 4, J� (Ifapphrvbk Bus.TeL No.. . (/ Address W l � rj /L(l S • AIL TeL Na: "Per M.G.L.c.147,a.57-61,security work tiros t 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 required by law. By my signature below.I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone Na I PERMIT FEE:S