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HomeMy WebLinkAboutBLDE-19-002716 �� Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-19-002716 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/N 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 perform the eicetncafwork described be 4 Location(Street&Number) 41 IROQUOIS BLVD h / - - / 7✓' 6) Iie Owner or Tenant ABBER JEFFREY A Telephone No. Owner's Address ABBER MAUREEN D, 518 FELLSWAY EAST,MALDEN,MA 02148 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters/ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC. I/ Completion of the following table may 6h 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- ❑ 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 1 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 0 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 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 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 �J Telephone No. PERMIT FEE: $50.00 ` 6, ((/14(l$kt yAca K,� et--; i t-ommorwrsa� • Permit No. l cc77ofec///aasacfti Official Use �] �: _ `��i Thu 77 'apartment o ra Serviced! "►lam '-. BOARD OF ARE PREVENTION REGULATIONS Occupancy and Fee Checked aRev. 1/07] _ r (leave blank) 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: I 1 — 5-( City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention n to perfo the entries!work described below. • Location(Street&Numb 4 ( Z YArrl 015 .12-.1 . (V. r . A O it pµ7.) Owner'or Tenant y Telephone No.g-7 L- 1 \ Owner's Address ver Is this permit in conjunction bmidin `� n r Ci a ` g permit? Yes ❑ No (Check Appropriate Box) Nn Purpose of Building f,(e r 01/ Utility Authorization No. Existing Service_ Amps I Volts Overhead❑ Und d gr ❑ No.of Meters _ Q New/Service _ Amps I Volts Overhead 0 Undgrd 0 No.of Meters W 15imber of Feeders and Ampacity ,,,,00--\.z atiom and Nature of Proposed Electrical Work: I /1 > o ¢ rL4Y/1cGZ /�v,2r' ''�lC 1-„ ,,/".E'lr4C, In IIJ 011 ^— Completion of thefallawingjable may be waived by the Inspector of Wires. �. . o. xf Recessed Luminaires No.of No.of Cer7.-Sasp.(Paddle)Fans Total KVA U r \ Transformers KVA ILI Z 08.0.1•31 Luminaire Outlets No.of Hot Tubs Generators KVA Ce • gob A LuminairesSwimming Pool Above In- No.of Emergency Lighting Crnd. ird.g ❑ Battery Units No.of Receptacle Outlets No.of Ort 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 - �' Tons 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 Spacearea Heating KW' Local Q Municipal — Connection 0 Other No.of Dryers Heating Appliances Kw Security Systems:• No.of WaterNo.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 ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 1 0—-i-(f 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 ® 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: _ p LIC.NO.: Licensee: Cr 1' ( Signator GIC.NO.: (Ifapplicab![e,ent "e{eny -”in the fi a number Jne.) G� d ?.6.-C1 , k Bus.Tel.No', Address. 9/�1D1ir7� b(/ler 1�o Ja p J Per M.G.L.C. 147,s.57-61,security work requires Department of Public Safety"S"License: AIL Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally irequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent t Owner/Agent Signature• Telephone No. I PERMIT FEE:$ 1-50