The URL can be used to link to this page

Home My WebLink AboutBLDE-19-007025 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-007025 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:6/12/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 21 COTTAGE DR Owner or Tenant SYLVESTER DANIEL E Telephone No. Owner's Address 21 COTTAGE DR,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: Replacement HVAC. 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- ❑ 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 Initiatinu 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/Alertine 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 Siens 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 RCS 7(4 1' Commonwealth i� _ * o�e�/77//aar�rscssfEs • OtcjaJ Use Only r1= . c�/ .�aparfi s¢,sf oi metro sarvrces Permit No. iB-q,-`T lO7 -- - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,[Rev. 1/07] • (leave blank) Y APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �,477CMR I z.00 �' I B thisCityor Town of: YARMOUTH To the Inspector of Wires: y application the patdersigned gives oti o his or her' cation to pe orm the 1 -cal work described below. e I Location (Street&Numb ) � (dI Owner or Tenant p _..-�.____ .,..,.,....._. rnY.QII TelephoneNo.-7 738-57e4 Owner's Address Is this permit in conjunctio th a budding ertnit? Yes Purpose of Building V S' ❑ No, (Check Appropriate Box) ��Gi Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Und grd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: II VAC reip ja 6,444,7, Completion of thefollcrwin 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 KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting - nu& ❑ ernd. ❑ Battery Units Na.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners ' - No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. f Total Z Tons 7 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 Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTiiER; No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value f Electrical Work (WhenWork to Start: ` required by municipal policy.) 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 co erage 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 o u )p fP�J perjury,that the information on this••_licatiot:is true and complete.FIRM NAME: Licensee: fe) LIC.NO.: of Licensee: to h// � m, r/ Signs LIC.NO.: !, Address: /u e'1 , i Bus.TeL No.: I. r' fi J L1 O' Lti '4' Alt.TeL No.: (�• 'Per M.G.L.c. 147,s.57-61,security work requires D F.! ., ent 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 S required by law. By my signature below,I hereby waive this requirement I am the(check one 0 owner 0 owner's a eat r Owner/Agent 6 Signature 0 Telephone No. PERMIT FEE: $