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Home My WebLink AboutBLDE-19-006275 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-006275 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:5/7/2019 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) 45 SKIPPER LN Owner or Tenant NUNES GUILHERME Telephone No. Owner's Address 45 SKIPPER LANE,YARMOUTH PORT, MA 02675 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 furnace&add on 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 1 No.of Detection and Initiatine 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 ❑ 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 e(Z&-(( rq v Commonwealth of Massachusetts Official Use Only - '1 Part Servl `-1 q —(p2^7 S s5%_ - a o/ Permit No. - ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev. i/07] (leave blank) -- APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 12 D0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the Inidersign notic ��f his or her intentionjj to perform the electrical work described below. Location(Street&Number) r- .i- ( '°-P Owner or Tenant AA _ t,lPi Telephone No. (�—'� a - µ•- Owner's Address �'G— i -?_ k '` Ps this permit in conjun 'onwith a building permit? Yes �, / � L ❑ No (Check Appropriate Box) 'urpose of Building (/, Utility Authorization No. `" Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Und grd ❑ No.of Meters :..,� Q I Number of Feeders and Ampacity i1 Location and Nature of Proposed Electrical Work: ~-- ''_-" Completion of the following table may be waived by the Inspector of lyires. No.of CeiL-Susp.(Paddle)Fans Total No.of Recessed Luminaires Transformers ICVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of le:mergency Lighting - rrad. trod. Battery Units No.of Receptacle Outlets / No.of OHBurners FIRE ALARMS 1No.of Zones "I No.of Switches No.of Gas Burners 1 No.of Detection and J Initiating Devices No.of Ranges No.of Air Cond. Tons G- No.of Alerting Devices No.of Waste Disposers Heat Pump+Number I Tons 1 KW No.of Self-Contained Totals:I f Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal _ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. Telecommunications Wiring: of Motors Total HP No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work Attach additional detail if desired or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start 7- ` (? 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 Al 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: Licensee: Aril , ��' LIC.NO.: •' Signatur S (Ifapplicabl- _ ber ine.) LIC.NO.: L . Address: us.Tel.No.: , S *Per M.G.L. C. 147,s.57-61,security work requires Department ,o Pub Safety d< Alt.Tel.No.: - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLicense: Lin.rance required by law. By my signature below,I hereby waive this requirement I am the(check one ❑wrier coverage n a e Owner/Agent ❑owner's a Signature ent Telephone No. PERMIT FEE: S