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Home My WebLink AboutBLDE-22-004321 Commonwealth of Official Use Only f� Massachusetts Permit No. BLDE-22-004321 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Codc (MEC),527 CMR 12.00 (PLEASE PRINT/N INK OR TYPE ALL INFORMATION) Date:2/3/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intentip n to perform the electrical work cribed below. � Location(Street&Number) 737 ROUTE 28 V/414i € (_L)'C(Q ( t-_-1/A Owner or Tenant 430116EWPIOAHEN4iNIR Telephone No. Owner's Address ROUTE 28, 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: Install recessed lights, 10 receptacles, &replace bath room fan. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 25 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 10 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/Alertine 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 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: $75.00 a,,,,„6, / „ � r,...,.41___ /LI19Iz2 Clg— Z - cr 17f 1 2-'17 ei ,r • IV L 0 ` "1 �Le.Jorprys Official a.fta Only Permit No.�� Use L�3 1 Occupancy and Fee checked sult'' � BOARD OF FIRE PREVENTION REGULATIONS (Rev.1/07J (km blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK An work to be performed in accordance with the Masschuretu Electrical Code(MCA 527 CMR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: n 2 OVZZ City or Town of Vest rn o u{L... To the Ins or of Wires: By this application the tmdorsigned gives notice o jhu or her intentiono pedant eeGearical work described ow. Location(Street&Needier) '131 Ao.(,-r Z U' Owaer or Tamest \o-.jt,-Led o Sr hies Tek$one No. 59'S-34 a-E/ Owner's Address Is Ms Pvoit be ecujaactka with a bulldog penult? Yes ❑ No 0 (Chuck Appropriate Box) Purpose of Bsddfsg Utility Aatho.lutloa No. Esislag Service Amps I Vohs Overhead 0 Laird 0 No.of Meters - at Servke _ Amps I Volts Overhead❑ Uadgrd 0 No.of Meters _ Number of Faders sad Angsetty Legation sad Nolan of Proposed GEkttrial Work: t is i7 2 AeCrSit!f / F f fu,kV// /0 Dull i F evait wrr1J, Rc//ago, ;,.,_ corn***Oektisk sN[te rq, a valved by the is pecror of wino. No.of Recessed Lemisatres No.of Cal-Seep.(Paddle)Far ,i1�of n Total No.of Line Outlets No.of Hot Tabs Geminate KVA Pot Above ❑ t eY Lipase No.of amulets Swimmisgs ❑ Battery Ilidn No.of Reeepbele Outlets No.dal Barmen FIRE ALARMS No.of Zones No.of Switches No.of Gas Barmen No.?Detection and luilfaHa[Devices No.of Rsages No.of Air Coat Tit No.of Akrdug Devices No.of Waste Diapason lint `Te Nw--- r i>�Si No.oftSe bk ert*i ned No.of Dishwashers Spsa/Ara Hathrg KW Local 0"'n ❑Odier No.of Dryers Hating Appliances KW Seem*t�r Eattfwkat No.of Water KW No.of No.of Data Wirier Heaters Signs Ballasts No.of Devices or Et nialeatioas No.H dromamage Bathtubs No.of Motors Total HP "fNo.of f or~ga(v 1 OTHER: yD�J Attack additional detail((desired:armga ra red 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,end 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 wde signed certifies that such coverage is in fore,and has adtibited proof of same to the permit issuing office. CHECK ONE:INSURANCE BOND 0 OTHER 0(Specii4:) I earl;naitrfr endd tali 6yionnAai err dY h epplicortoa t roar nod ample*. Film Nook - Z /- f cur «w, LIC.NO.: I LI 63 Limon: i-A-°Y e_A—c,, Sigma tars( t�II_ LIC.NO.: ;emu°1� f+'� 1 A1 3 7"y Alt Tel.No.: w d'Pa M.G.L.c.147,s.57-61.security lhc requires Deportinent of Public Safety'I"License: Lie.No. OWNER'S INSURANCE WAIVER: f am aware that the Licensee does not hare the liability insurance coverage normally required by law. By my signalise below.I hereby waive due requirement. t am the(check one)❑owner ❑owner's resent. Signature Telephone Na PERMIT FEE:S �17'//5��'C J� CAI 1