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Home My WebLink AboutE-19-2717 u' Commonwealth of Official Use Only k�E Massachusetts Permit No. BLDE-19-002717 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 20 FRANKLIN ST Owner or Tenant HARTFORD ARTHUR D Telephone No. Owner's Address HARTFORD JOANNE,20 FRANKLIN ST,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes ❑ - No D (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 Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 16 No.of Luminaires Swimming Pool Above ❑ In- 171No,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. Total No.of Alerting Devices Tons No.of Waste Disposers (teat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 0 OTHER 0 (Specify:) Icertify,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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. • PERMIT FEE: $50.00 svzid_ 11/13lea h Y uT . /J C.immoncira y�of/t/adlaclsudelfd p�tial Use Only �.>�, ryry, c7 [[a� CCA CZ —t7 --••• 'm� 2eparit ant of..Yin Serviced •Permit No. _1T BOARD OF FIRE PREVENTION REGULATIONS Occupancy ry and Fee Checked v. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 12.00 (PLEASE PRINT MINK OR TYPEAU INFORMATION) Date: I )— S—i City or Town of: YARMOUTH m the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention to perform di rice/work described below. • l • Location(Street&Number) Z d f y� J 1 to •C�-c. km, m 61,x,'6r v/ OI Owneror Tenant Ji' Telephone No..�Og'-4Sc2_99 l _ Owner's Address g Is this permit in conjunction withi banding permit? Yes No qq ❑ (Check Appropriate Box) Purpose of Building CE ci&IIl r[t ( Utility Authorization No. Q citing Service_ Amps / Volts Overhead ElUndgrd❑ No.of Meters _ 111g Sema _ Amps / Volts Overhead❑ Undgrd❑ NO.of Meters > in ber of Feeders and Ampacity • 3 don and Nature of Proposed Electrical Work: W `o+ o �{/fl�i-C-Fiv fA/��i� O ,%•-->4 ? Completion of the followinttable may be waived by the Inspector of Truer. iii —" 80.�sf Recessed Luminaires No.of Cei1-Susp.(Paddle)Fans . No.of Total Transformers KVA I re Ion'?f Luminaire Outlets No.of Hot Tubs Generators // KVA // No.of Luminaires Swirnmin Pool Above In- 0 No.os Lmergedcy Lighting 66 g trrnd. Brod. BatteryIInits No.of Receptacle Outlets No.of On 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. Ton No.of Alerting Devices • No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained Totals:I I Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW' Local Municipal Q Connection 0 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 Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na.of Devices or Equivalent OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work; (When required by municipal policy.) Work to Start:/0-36 '(K' 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 til BOND 0 OTHER 0 (Specify:) I cern)", under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: . (AM. — t d • Signature LTC.NO.:5-2-z417-g Wapplicable,en:g 'er. •t•'in the license mt bei l' a Bus.Tel.No.• Address Sits' 6TA4 f aA , /{-( Ji /tlAaLet'? Alt.Tel. &c J 'Per M.G.L.c. 147,s.57-61,security work requires Dep ant of Public Safety"5"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally it required by law. By my signature below,l hereby waive this requirement I am the(check one)0 owner ❑owner's agent t Owner/Agentg Signature• Telephone No. f PERMIT FEE: S �(�'�,