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HomeMy WebLinkAboutBLDE-21-005964 ' or Ard\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005964 libil* 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:4/15/2021 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) 176 BEACON ST Owner or Tenant Tai Chan Telephone No. Owner's Address 176 BEACON ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Checkkpriate Bo• f/ Purpose of Building Utility Authorization No. JJ Existing Service Amps Volts Overhead 0 Undgrd ❑ No '�� e a l ,i New Service Amps Volts Overhead 0 Undgrd ❑ ' . nM Number of Feeders and Ampacity II pi t Location and Nature of Proposed Electrical Work: Convert garage into living space. /O x Completion of the following table may be waive t •r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 1 Transformers ' A 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiatine 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/Alertine 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 Signatureur� Telephone No. 61,044( PERMIT FEE:$75.00 F $-trG�6( -GQN1Cta27 �q 24E,-e 4- t) if/2t(/2/ tog, t ahrs'ere S'(-1 Ce &oker vvii d fiiJAt j • E CowuronweaK. /Maae�� Official Use Only (,, ejc7 Permit No. ..--.' — �'`� © • 1 g ni of irr Smoked � � - Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: 4/14/2021 jCity 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) 176 Beacon Street Q.) Owner or Tenant Tai Chan Telephone No. 781-366-1899 c Owner's Address 176 Beacon Street, South Yarmouth Is this permit in conjunction with a building permit? Yes 54 No 0 (Check Appropriate Box) --SPariNNe of Building BI Conversion ofD-21-002394 Garage to Office space. Utility Authorization No. J Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters e New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters 4 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Extend wires and add junction box from main electrical panel to accommodate 04, vaulting of the ceiling in new office and add electrical wall outlet to meet the Massachusetts electrical code Completion of thefollowingtable mrry be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Call-Snap.(Paddle)Fans Tr of Total � Transformers KVA Qt No.of Luminaire Outlets No.of Hot Tubs Generators KVA n AboveIn- NO.of Emergency Ligating 4..: No.of Luminaires Swimming Pool v.nd. ❑ grnd. ❑ Battery Units •.b No.of Receptacle Outlets di No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches i No.of Gas Burners Ra Inf g n and it,i No.of Ranges No.of Air Cond. Tons! No.of Alerting Devices No.of Waste Disposer Heat Pump Number Tons KW No.tals: dAAleontained DDevices No.of Dishwashers Space/Area Heating KW Local 0 nun= 0 Other No.of Dryers Heating Appliances KW SecNo.ut Devkes�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 TelecommunicationsWhin: Na of Devices or Equivalent OTHER: Attach additional detail Y'desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work: $1400 (When required by municipal policy.) Work to Start: 3/14/21 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I cerlfy,under the pains and penalties of perjury,that the information on this application is tare and complete. FIRM NAME: Work will be done by owner,Tai Chan LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)]gowner 0 owner's agent. Signature —'-' ��. Telephone No`511*v 3 6 b /1 f g I PERMIT FEE:$