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Home My WebLink AboutBLDE-19-001582 A or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001582 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:9/14/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice at his or her intention to perform the electrical work described below. Location(Street&Number) 15 KNOLLWOOD DR Owner or Tenant CARPENTER DENNIS J Telephone No. Owner's Address CARPENTER JOANNE F, 15 KNOLLWOOD DR,YARMOUTH PORT,MA 02675 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: Split NC system. 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 CIIn- ❑ 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. 1 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 0 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 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 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: 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.l am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 yi Comma. ommonmea of///aisactiaCal Us Aril�/,6,2,.ks - =r cc77�� cc77 Permit No. ` Z -10 1Jeparfineni of ire Servicd "1i ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev, 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C e(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: q -1 '(6? City or Town of: YARMOUTH To the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) Jr kl7o/1w�d Pi Owner'orTenant 4„Fin,'�py Telephone No.77X.-33ff 2/9 Owner's Address rr Is this permit in conjunction with a building permit? Yes 0 No [ ' (Check Appropriate Box) Purpose of Building Utility Authorization No. IExisting Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Q New Service Amps / Volts Overhead 0 Undgrd 0 Ne.of Meters Number of Feeders and Ampacity "<} � Location and Nature of Proposed Electrical Work: (111:(1 r $,9b'e w�+ r T ! _J I-- Completion of[helot/awing table may be waived by the Inspector of Wires. No.of Ll.l �s 1;.1Total KVA of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA (c)V t of Luminaire Outlets No.of Hot Tubs Generators KVA 14%1 of Luminaires Swimming Pool Above ❑ In-grnd. ;Lott. a❑ Notte,ofry UEmnitsergency fighting • V w N of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones tiJ 0 c") y of Switches No.of Gas Burners No,of Detection and _ Initiating Devices 'No of Ranges Na of Mr Cond. Too Z r S_ No.of Alerting Devices o No.of Waste Disposers Heat Pump Number Tons KW No.of Set[Contained v Totals: Detectlon/Alerting Devices No.of Dishwashers SpaceJArea Heating KW Local CC onnection echo on ❑ 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: 1 Signs Ballasts No.of Devices or Equivalent \tedJxY� No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OMER: ''S Attach additional detail if desired or as required by the Inspector of Wires. I, Estimated Value of Electrical W (When required by municipal policy.) V4) Work to Start ( -10 Inspections to be requested in accordance with MEC Rule 10,and upon completion. c INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless i v the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The . i`; undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND 0 OTHER 0 (Specify:) iI cert)", under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: , � a Licensee: g�Pa ( Signature LIC.NO`JG ,\ , (If applicable, me exempt'in th lice tubear line.)i / Bus.Tel.No.'. 6 �.J Address: /ji ( et TAe7I MN' or/ tyre. A 6zD j Tel.No.: j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe 'S"License: Alt.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)❑owner 0 owner's agent Owner/AgentT Signature Telephone No. 1 PERMIT FEE: $ 6D