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Home My WebLink AboutBlde-20-002384 Commonwealth of Official Use Only r.- , Massachusetts Permit No. BLDE-20-002384 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:10/28/2019 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) 5 WHISTLER LN Owner or Tenant RILEY PATRICIA A Telephone No. Owner's Address 109 BROAD ST APT 605, WEYMOUTH, MA 02188 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler&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 1 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/Alerting 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 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.: 21928 (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 [ RECEIVED 'vim (11.- v OCT10 Li „..8 :,,,,, IA,mmonwaa[th.of Maedachueatfa cgffi�ciapl�Use Only Q� _�� c)EPARTMENT Permit No. �23 8q I-. B, cc77 nn L Aky. 1 apartmaat o/..tire Jan/iced`� BOARD OF FIRE PREVENTION REGULATIONSOc1 07] and Fee Checked [Rev. ) (leave blank) U APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK y\ 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: le - Z t --(5 City or Town of: YARMOUTH To the Inspector of Wires: `k) By this application the undersigned gives notice of h's r her in ntion to perf rm a electrical cork described below. Location(Street&Number) s OA , St�V LcM,..� 1 tit Y rpect�f7 �t,�'f. 6ci V Owner or Tenant P�.V S Tel phone Na. 5-0�=7 3 7-� r � � -� Owner's Address >; Is this permit in conjunction with a b ilding permit? Yes ❑ No EE (Check Appropriate Box) c Purpose of Building (62 5, i N 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 Ampadty 'LJ Location and Nature of Proposed Electrical Work: l'),`_5/9l f may, d so, /e r i!evi e `r' Completion of the followin table me be waived by the Inspector of Wires. •'I No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grnd. ❑ rnd. ❑ 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 Total No.of Ranges No.of Air Cond. J Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons K No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent _ No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electric} Work: (When required by municipal policy.) Work to Start:1 D-Z'( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAG : 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 V 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.: 2-(91J 4 Licensee: K( ` -it C 7�,, Signatures" /� LIC.NO.. Z L.`1 6 (If applicable,enter"ekem 'i the li�ns u ber l' e� / Bus.TeL No. 7r/-L�,r" %1 L'� Address: c( �� Dux/ c , Y wit S"rt i`4/ C �C - Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Dep 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 50--