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Home My WebLink AboutBLDE-19-001295 t Commonwealth of Official Use Only Ill 4\tPermit No. BLDE-19-001295 Massachusetts k BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.)/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:8/31/2018 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) 233 UNION ST Owner or Tenant RAYMOND MARGARET M _ Telephone No. Owner's Address PO BOX 672,WEST YARMOUTH,MA 02673 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: Add on NC. 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- o 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number I Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local O Municipal a 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 Sian, 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 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: 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 Mt.TeL No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No, PERMIT FEE:$50.00 gel tASei 4 antn;ona saLth 4 Massachusetts Official/��Uyse Only �} `EV, apartment ol.yfre Jervrus Permit No. -m.4 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 1/ 07j (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL JNFORMA77OP.9 Date: 3--3(-(e' City or Town of: YARMOUTH To the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention,rform thethechical welt described below. • . Location(Street&Number) 233 brit Rayl 9{. Gw70c fir Owneror Tenant itc y/ytayt.cl . TelephoneNo.'S�8'"-V2-St.;3e Owner's Address `! Is this permit in conjunction with a building permit? Yes 0 No 12 (Check Appropriate Box) Purpose of Building Qi S,-cier-t;ct( Utility Authorization No. Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd 0 Ne.of Meters Number of Feeders and Ampacity f Location and Nature of Proposed Electrical Work: /t-/C aC Cid Oh • l TCompletion ofthe fo . - _ table may be waived by the Inspector of Wsires, No.of Recessed Luminaires No.of Cert-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above Brod. B❑ In- No.ofattery UEmergency Lighting ¢rend. nits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. I Total'Pr Tons No.of Alerting Devices . No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' /seal Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KWSecurity Systems:* — No.of Water No.of Devices or Equivalent Heaters No.of No.of Data KW Si• s Ballasts No.of Devices or E.uivalent No.Hydromassage Bathtubs No.of Motors Total HP I e cee ommunications sungg: I No.of Devices or Egatvalent OTHER • Attach additional detail Uedesired or as required by the Inspector of Wires. Estimated Value of Elecfi( J,Work: (When required by municipal policy.) Work to Start •' 7 -16 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 outrage is in force,and has exhibited proof of same to the permit issuing office. Ea CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify^.) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NA E: i LW.NO.: Licensee: — r 1� a (r+'t er Signature LIC.NO.: .T'bi n (If applicable•enter"gam"int1 /i e numbfine. Bus.TeL No. r 7�/ Address: 57% idLt.�i'1��L - O''ASGlt4.QL p91J c?-24-`r Alt Tel.No.: j *Per M.G.L.c. 147,s.57-61,security work requires'(jepartnent of Public Safety"S"License: Lic.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 requirement I am the(check one)0 owner 0 owner's agent r Owner/Agent 1 Signature Telephone No. ( PERAfIT FEE: S