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Home My WebLink AboutBLDE-19-001296 - C\�'� 1 r9 or /?Commonwealth of Official Use Only a4 71 I kett Massachusetts Permit No. BLDE-19-001296 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/071 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) 21 FOUR SEASONS DR Owner or Tenant NEITERMAN BURTON TRS Telephone No. Owner's Address NEITERMAN ROZANNE TRS,21 FOUR SEASONS DR,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 ❑ 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 Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 11 No.of Luminaires Swimming Pool Above ❑ la- ❑ 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 andinitiating 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 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 fdesired,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 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"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:$50.00 �jL� ? (l$ /, 6 ! ale' Cominonwt oft r/assizehasrtte 'Official Use liy_ �eparirnent o/ ee [�� Permit No. `taii� I J .. =t(x Occupancy and Fee Checked - BOARD OF ARE PREVENTION REGULATIONS fRev. 1/07] ' (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the a sachusetts Electrical Code 3� l7 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIONDate: ' 431 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the tmdersigned Fives notice of his or her int-Vonto perform the electrical work described below. . Location (Street&Number) ,Z rOuC S n r. Owner'orTenant NQ j ter00.-rt. Telephone No. - 76p-frst Owner's Address Is this permit in conj'tnIc°on with a b Odin¢permit? Yes ❑ No tq 7 re r .. 1 (Check Appropriate Box) Purpose of BuildingUtility 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: 624.ne is/or. Lt/a r I�- , • Completion of thefollowin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cert Susp.(Paddle)Fans • No.of Total Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators 7 - KVA 1/ No.of Luminaires Swimming Pool Above ❑ In- 'No.of Emergency Lighting grad. orad. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 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 HeatingKW' Municipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of No.of Devices or Equivalent No.of Heaters KW Ballasts Data Wiring: No.of Devices or Eqguivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: • Attach additional detail(desires(or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:R-79 "I 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [D] BOND ❑ OTHER 0 (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t' LIC.NO.: Licensee: IC.tNng f 0 %c-vi,e Signature/- LIC.NO.:S " B p/applicable,etre�ergmpt' in r liters tuber l' e.) / Ad dress: 5(6 CQ(Lt.i JZ /v(aS�ipl /L{A o 7e(CS Bus.TelNo.J 2 Ft, , j 'Per M.G.L.c. 147,s.57-61,securitywork Departmentocty l Alt.TeL No.: S License: Lic.No. — OWNER'S INSURANCE WAIVER: I am awarerequires that theensee does not have the liability insurance coverage n "t required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. t Owner/Agent .I Signature. Telephone No. I PERMIT FEE:$