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Home My WebLink AboutUntitled Commonwealth of Official Use Only 11 Massachusetts Permit No. BLDE-20-000237 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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•7/16/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her mtelx *perform the electrical work described below. Location(Street&Number) 15 DENVER a . , Owner or Tenant DOHERTY CHRISTOPH Telephone No. Owner's Address 15 DENVER DR UNIT C4,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: Install sub panel&mini split NC. 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 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/Alertine 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 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 r Commonwealth of//1asdachusett Official Use Only _ �� = 1JaParfmanE o�.tira Serviced No. C3 /" 0 2_3 / _-_ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ '"„ (Rev. l/071• (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),52712.D0 (PLEASE PRINT IN INK OR TYPE ALL INF'ORMATIO19 Date: ---'(S "/ City or Town of: YAR1VIOUTH To the Inspector of Wires: By this application the undersigned giv notice of his or h intention to perform the electrical work described below. Location (Street&Numb r) /5" pe n VC r 1.1 r, t 6 6 Owner or Tenant PC P T Telephone No. Owner's Address �q Is this permit in conjuon witili a bo permit? Yes ding JJ ❑ No I (Check Appropriate Box) Purpose of Building St 1 R11 Utility Authorization No. Existing Service A.mps / Volts Overhead D 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: 191 it)7—90p fly e ( 5 Ul f® €r Completion of the following table may be waived by the Inspector of Wires. - No.of Recessed Luminaires No of Cell-Sinn.(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 li mergency Lighting gmd-. srnd. 0 Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS INo.of Zones 0 No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. I To 3 No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: I Detection/AlertingDevices - No.of Dishwashers Space/Area HeatingKWMaaicipai Local 0 Connection ❑ Omer cr No.of Dryers Heating Appliances KW Security Systems:* �.7J No.of Water No.of No.of Devices or Equivalent No.of \i Heaters KW Signs Data Wiring: a� Ballasts No.of Devices or Equivalent U No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Q1 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) V Work to Start: -7'f/-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 21 " BOND 0 OTHER ❑ (Specify:) I cent)", under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: r� LIC.NO.: Licensee: Ci4415 •- Signatu �� LIC.NO.:S Z (If applicable,enter'exemptLin the teens rer!G'rr�)A . Address: S)9 �o7`,Gt,-. /V( puj a?•(�q Bus.Tel.No.:7_ � J `Per M.G.L. C. 147,S.57-61,securitywork requires / Alt.Tel.No.: Dep grit 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 SOwner/Agent required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent jSignature Telephone No. [PERMIT FEE: $