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Home My WebLink AboutBLDE-22-001818 #36 Commonwealth of Official Use Only oF_N �,it(e Massachusetts Permit No. BLDE-22-001818 .....0 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:9/30/2021 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) 36 Sal HUDSON RD Owner or Tenant Lucas Vieira Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check ♦'t : •riat AT O Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 N. . A New Service Amps Volts Overhead 0 Undgrd 0 No.o •e 6.017, Number of Feeders and Ampacity • r Location and Nature of Proposed Electrical Work: Replace fan,add receptacle for microwave,replace devices • s,& - • N, Completion of the following table may be wa' ed t ,•.a if Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tota 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 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 ❑ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,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: $250.00 ta000W11a•0al4 of rr/aaurc!'iae.W Oflkial Use Only rr xa,Lrr.st o/_J c7iro&evk.o Permit No.t 22- (Y)i( G Occupancy w `.lJ.Fcupancy and Fee Checked w�. BOARD OF FIRE PREVENTION REGULATIONS (Rev.1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co4e M€C),527 R 12.00 (PLEASE PRINT IN iNK OR TY ALL INFORMAT/�N) Date: `-' / -s9 02 I City or Town of: ad -t(�G((�i t To the Inspector o Wires: By this application the undersig va notice o his or her intention to.Rerfgrm the electrical work described below. Location(Street&Number)� C SO L1 j'{C,{/ in i Owner or Tenant tt .CA S' i at r4� Telephone No. Lu w Owner's Address > N .1. b this permit in conjunction wit aa� bg permit? Yes ❑ No ql (Check Appropriate Boi)i Purpose of Building Iesl a.`i t Q t c,I Utility Authorization No. LLi 1 c\t o istiag Service Amps / Volts Overhead El L'adgrd❑ No.of Meters O - U' N o ew Service Amps / Volts Overhead El Ltadgrd 0 No.of Meters LLI g.,.. amber of Feeders and Ampacity ir co m tioa and Nature of Proposedt Electrical Work: lil 6 l c�0 LA 1 f .lace_ Wtr�-c(.. > f j C leaon of the jdiNA lmrta6k warred by the 1 i++eertor of{fires. Totallo.of Recessed Luminaires No.of Cell-Stop.(Paddle)Fans T or TrTransformersoTransformersKVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimmingPool Above In no.of hmergeney Lighting grad fired. 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. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number T_gos._,.KW No.of Self-Contained Totals:L..... i_ 1 _._.._..._. Detection/Alertinrtg_Devkea No.of Dishwashers Space/Area Heating KW Local 0 Muntcionnectipaion 0 Other C Na of Dryers Heating Appliances KW Security Systems:. No.of Devices or Equivalent No,of Water K�/, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydrowsaege Bathtubs No.of Motors Total HP Telecommunications 11 iring: No.of Devices or Equivalent OTHER: Attach additional detail((desired or as required by the Inspector of{fires. 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. LNSURANCE 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 verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 (Specify:) I certify,an and f perjuryahut the information on this applkation is true and complete y h'3 FIRM NA : _ G___'-/- 'a-_, i LIC.NO.: IL i G Licensee: Signature - LIC.NO.: !i(applicaWe ryryes dte ' 1 Bus.TeL No. Address: 1 L W O l t j� Mt.TeL No.: 'Per M.G.L.c.147,s.57-61,security Dipartment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hate the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement. I am tie(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ `�711 2_16-- 574 S- RECEIVED CEP 2721:1211 1.IL DING Uri HrM Official Use .� nweaig„I Maddach.ueatid Only ' :'I - c� c7 Permit No. ' �'` apartment o/,tire Serviced I I„; ;*1 Occupancy and Fee Checked *: BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a,-1 �D� City or Town of: YARMOUTH To the Inspecto of Wires: By this application the undersigned gives notice of his or•her inteen'lItio to erform the electrical work described below. Location(Street&Number) b ' h W11 Owner or Tenant L v� �(j Telephone No. Owner's Address r. - A I\ . „'.Qt`t1 viu Is this permit In conjunction with a building permit? Yes El NoII (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd ❑ No.of Meters Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: fie (Q �W�(,,6 O,i\ \,�s E)1\ i Completion of thefollowingtable m be waived by the Inssector of Wires. W ma No.of Recessed Luminaires No.of Ceil:Snsp.(Paddle)Fans No.of Total C " i Transformers KVA Ct No.of Luminaire Outlets No.of Hot Tubs t)I Pr Generators KVA n d- No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. Rrnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners jj l pl. FIRE ALARMS No.of Zones T No.of Switches i CJ No.of Gas Burners t No.of Detection and < Initiating Devices _ t t? No.of Ranges t No.of Air Cond. TonsTotal No.of Alerting Devices No.of Waste Disposers Neat Pump Number Tons KW No.of Self-Contained Totals: -Detection/Alerting Devices No.of Dishwashers (V I i} Space/Area Heating KW Local❑ Municipal Connection Other No.of Dryers Heating Appliances KW cu ty ystems: No.of Devices or Equivalent No.of Water No.of No.of Ballasts Data Wiring: Heaters r KVV Signs No.of Devices or Equivalent No.Hydromassage Bathtubs IQ I IN 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: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this ap ication is true and complete. FIRM NAME: Luc..a5 ij t t yrk LIC.NO.: Licensee: Signaturejt. k\ LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.. Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability n ranee coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ,owner ❑owner's agent. Owner/Agent 1' Signature UL QS V t s,( YGl Telephone No. 1 its g36)3 ) PERMIT FEE:$