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Home My WebLink AboutE-19-6548 Commonwealth of Official Use Only "L , Massachusetts Permit No. BLDE-19-006548 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:5/20/2019 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 electrical work described below. Location(Street&Number) 15&17 THACHER ST Owner or Tenant BRAZEAU ROBERT W Telephone No. Owner's Address BRAZEAU JOAN, 15 THACHER ST,YARMOUTH PORT, MA 02675-1123 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 ❑ 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 boiler. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinu 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 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 043 / ile9t _ Cf Q Z - = onsnsorstusa off Official Use Only • W 07 ! ==��_ t=: epartrnent Permit No.��l Q"-(nS`l" 5ire Serviced > ' <. 1_L =• ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS w .''�7 ,[Rev. 1/07] (leave blank)W o V Q . I • PPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WO W E m 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 WORK -SE PRINT IN INK OR TYPE ALL INFORMATION) Date: YARMOUTH '�� 7 G Cityor To of: To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio to perfo a electrical w describ4, below. • Location (Street&N ber) ill aGj g '- s f - \ e v av Owner or Tenant 1r0` Ova_ Telephone No.2.12�Z�cf Owner's Address Is this permit in conjunction=building erm it? Yes No (Check Appropriate Box) Purpoa of BuiIding -5 i - GG ( Utility Authorization No. Existing Service Amps / Volts Overhead ❑, Undgrd ❑ No.of Meters New Service Amps / Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: f:70) g// KI(1.//- Completion of the followirztable may be waived by the Inspector of Wires. No.of Recessed Luminaires No. of CeiL-Susp.(Paddle)Fans No.of Total Transformers Transformers KV�, No. of Luminaire Outlets No.of Hot Tubs Generators KVA `b V No. of Luminaires Swimming Poo, Above ❑ In- ❑ No.of l".mergency Lighting - arnd.. arnd Battery Units �. Receptacle Outlets No. of No.of Oil Burners FIRE ALARMS f No.of Zones No.of SwitchesNo.of Detection and �. No.of Gas Burners - Initiating Devices Total . No.of Ranges INo. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number l I Tons )KW No,of Self-Contained Totals: I _Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalMunicipal Q.) Q Connection OtherNo.of Dryers Heating Appliances , Security Systems:* No.of Water No. of No.of Devices or Equivalent Q) Heaters KW No.of Data Wiring; r v 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 Ely- cal rk (When required by municipal policy.) Work to Start:c Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: nless 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 ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: I Licensee: 0 ( Signature LIC.NO.:�Z Z I (If applicable " em in;he ens m e e.) ia. xeyf 4�/,f Bus.Tel.No.:-? 7 -7) Address GCJ ( Alt.Tel.No.: 1 "Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nrmally 5 required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent 0 Owner/Agent Signature 01 - Telephone No. PERMIT FEE: $