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Home My WebLink AboutBLDE-19-000433 r _. S, -- — � . Commonwealth of Official Use Only ✓ E•.i(f\ Massachusetts Permit No. BIDE-19-000433 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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 (PLEASEPRWT IN INK OR TYPE ALL INFORMATION) Date:7/23/2018 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) 16 SANDY LN Owner or Tenant GIARDINO THOMAS J Telephone No. Owner's Address GIARDINO SUSAN G, 16 SANDY LN,WEST YARMOUTH,MA 02673 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 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 generator. 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 1 KVA 9 No.of Luminaires Swimming Pool Above 0 In- 0 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 -Imtiatine 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 Data Wiring: Heaters Stens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail rJ 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 El 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: Kung-Po Tang Signature LIC.NO.: 52286 (If applicable,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.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 Qt& 8/3(,8 e n/J 0 Z C.Omrnonar,S o/rr/tyy� aalac iii Official U27; in ui rcy� s arfmsnE o Permit No. q r3 �N m srvicsa Occupancy and Fee Checked N o w BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] - cleave blank) v APPLICATION FOR'PERMIT TO PERFORM ELECTRICAL WORK �� Z All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 IL —' �m( SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7- 2-i /8' City or Town of: YARMOUTH To the Inspector of Wires: ' this application the Iuhdersigned.pve`yaotice of is or er intention to perform the electrical work described below. . Location(Street&Number) /b Ja. ., Owner or Tenant Cry aro._ Y der26 / Telephone No. Owner's Address am t_ Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) • Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ 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: 6-1.24.724-c,_-6 w Completion ofthefollowirivable may be waived by the inspector of Wires. No.of Recessed Luminaires No.of CeiL Snsp.(Paddle)Fans • No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators / KVA No.of Luminaires Swimming Pool Abovgrnd Be ❑ In- ❑ No,ofatteryUnitEmergencys Lighting - grnd No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection an Initiating Devices _ No.of Ranges No.of Air Cond. Total No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained ' Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral Municipal ❑Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring Signs Ballasts 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 Woor-k: (When required by municipal policy.) Work to Start 7---7(�(o 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 coAy.erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE aBOND 0 OTHER 0 (Specify;) I certify,under the pains and penalties ofperjury,that the information on t ' pplication is true and complete. FIRM NAME: s r upLIC.NO.: Licensee: / a Signature LIC.NO.: t— "v (If applicable. -n n r"_ ..t' license theby tint/ Bus.Tel.No: 6 Address s n µi t i d �/� 5l jQQ /1-44 O7-,tf Tel.No.: j `Per M.G.L.c. 147,s.57-61,security work requires Dep ent of Public Safety"S"Lic e: Alt.Lic.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally scOwner/Agent required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent 3 Signature Telephone No. I PERMIT FEE: $ 1