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Home My WebLink AboutBLDE-17-005246Commonwealth of Official Use Only Massachusetts PerrnitNo. BLDE-17-005246 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked a. Rev.l/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: 4/12/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ot his or net intention o per orm t e e ce nca work described below. —7�y(�/p Location (Street & Number) 33 HATCH RD % / "83& ' < ` 7 fV" Owner or Tenant BAKER CURT E Telephone No. Owner's Address 33 HATCH RD, SOUTH YARMOUTH, MA 02664-1936 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace Completion ofthe 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- ❑ rnd. rod. No. of Emergency Lighting Ratter Units No. of Receptacle Outlets 1 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners 1 No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pumpr Totals: Numbe Tons KW No. of Self -Contained Detection/Alertine Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No. of Dryers Heating Appliances KW Securitv Systems:* No. of Devices or E uiva lent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or F, uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent 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 ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Kung -Po Tang Licensee: LIC. NO.: 21928 enter "exempt" in the license number line.) Bus. Tel. No.: Address: 518 COTUIT RD, MASHPEE MA 026492351 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 signature below, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. IPERMITFEE. $200.00 Conzmomueaitk of rt'/aaaackwetb Official Only ccyy�� Permit No. lam(,, L — 15 l0 a/JeParEm¢nE a� ire �ervicea Occupancy and Fee Checked US BOARD OF FIRE PREVENTION REGULATIONS LRev. 1/071 (leave blank) 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: City or Town of: � Icc6- 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) 3 3 kli ktd U( - l.. 'y/."., // Owner or Tenant '&( r -t Owner's Address `? ) /—(6'• 76/A 'IL N Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps Volts New Service Amps / Volts Number of Feeders and Ampacity Telephone No. '7'7'{. 5'3e- %^r 7S Yes ❑ No 91 (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: )110 1Ora� c r rp t,' a e Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Sus Paddle Fans p (Paddle) No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Initiating Devicesct No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Dispose p Heat Pump Totals:" Number Tons J.K..W No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW SecNotoSystems:* Devices *or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications firing: No. of Devices or E uivalent 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 NEC 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 ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: South Shore Heating & Cooling, Inc. LIC. NO.: 21928-A Licensee: Kung -Po Tang Signature LIC. NO.: (Ifapplicable, enter "exempt" in the license number line)Bus. Tel. No.: 781-686-7506 Address: 518 Cotuit Road Mashoee MA 02649 - Alt. Tel. No.: 508-398-6901 *Per M.G.L. c. 147, s. 57-61, security work requires Departine of Public Safety "S" License: Lie. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requitement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.