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Home My WebLink AboutBlde-20-000236 Chi Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000236 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:7/16/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or tier intention to perform the electrical work described below. Location(Street&Number) 20 PILGRIM RD Owner or Tenant CATALONI RAYMOND J TR Telephone No. Owner's Address CATALONI FAMILY TRUST,20 PILGRIM RD,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: Split A/C 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: J Detection/Alertine 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 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 CK-6 I 1 ( OVtseD 40-1.4&covi- crpt 5autikk,tyw CW14)i c.�cQ f o e sow'/ _ Commonwealth off Ma.4.sachusslfs • Official Use Only �� Apartment o{. ire Services Permit No. v t-CJ ' Z3 BOARD OF FIRE PREVENTION REGULATIONSOccupancy1/07] and Fee Checked `"" [Rev. (leave blank) 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:To the Inspector -is-(MEC -5 - q 7 R l Z.DO City or Town of: YARMOUTH 7 -tor r of Wires: By this application the iimdersigned gives notic of his or her in en' to perform the electrical work described below. Location (Street flit Number) ZQ PlQ Yirn g_ Owner or Tenant Cc,.14 .Ion ; J Telephone No. S U8--77/—/?9 Owner's Address Is this permit in conj,Ftion with a bpddi�permit? Yes ❑ No ,.J�a"^_� � (Check Appropriate Box) Purpose of Building i Utility Authorization No. Existing Service Amps / Volts Overhead ❑ 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: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cetl-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.oI Emergency Light=ng arnd. 0 _rnd. ❑ Battery Units U No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones • No.of Switches No. No.of Detection and 1 a of Gas BurnersInitiating Devices No.of Ranges No.of Air Cond. / Total 1 Tons (, S No.of Alerting Devices No.of Waste Disposers Heat Pump Number No.of Self-Contained Totals:I I Tons KW Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loc l❑ Municipal ' J Connection ❑ �er No.of Dryers Heating Appliances KW Security Systems:* ' No.of Water No.of Devices or Equivalent No.of Heaters KW Signs No. Data Wiring: 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 Ele cal Work ,v Work to Start 7 � �(� �requtred 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 J the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent, The j undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ij BOND ❑ OTHER ❑ (Specify:) I certz)57, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: S - LIC.NO.: (Ifapplicableit ••er pt n tree ens Signata LIC.NO.: 1 . Address: l / , G,�h O 2(Ce� Bus.Tel.No.:-7� j *Per M.G.M.G.L. c. 147,s.57-61,security work requires Dep ent of Public Safety S License: Alt.Lic.No.� — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability S required by law. By my signature below,I hereby waive this requirement I am the(check one insurance w rice coverage n�orrna(ly Owner/Agent 0 owner ❑owner's a ent I Signature Telephone No. PERMIT FEE: $