The URL can be used to link to this page

Home My WebLink AboutBLDE-22-000363 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000363 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:7/20/2021 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) 245 PINE ST Owner or Tenant DELMONICO RALPH TRS Owner's Address O'NEIL DONNA J, 245 PINE ST, YARMOUTH PORT, MA 02675-2377 Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service gNo.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator 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 Transformers Total No.of Luminaire Outlets No.of Hot Tubs KVA Generators 1 KVA 22 No.of Luminaires Swimming Pool Qr bovend. ❑ g rnd. ❑ No.of Emergency Lighting 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 No.of Ranges Initiating Devices No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters Signs No.of Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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, f perjury, J under the pains and penalties o erry,u that the information on this application is true and complete. FIRM NAME: KUNG-PO TANG Licensee: Kung-Po Tang Signature Tel. NO.: 21928 (If applicable,enter"exempt"in the license number line.) Address:518 COTUIT RD, MASHPEE MA 026492351 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. liztiveti It eAtaial/V6 8/42.1 611,LSct w(-� t ktz � ` t _*-= 1 Commonwealth o�///a�aachuae Official Use Only c4-a„,m 4 2epartmenl`o s Permit No. :.�2 C�� _ / ire Serviced ` ,�` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [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 TY E LL INFORMATION) Date: City or Town of: Ar FYI 0,,- t k To ires: By this application the undersigned gives notice of his or her intention to perform the electrical work ctor of des described below. Location(Street&Number) Z S 9{y Owner or Tenant �jj j Owner's Address 5)19) (f� Telephone No. 5 =36L- � Is this permit in conjunction with al building permit. Yes ❑ No Purpose of Building p, n -� � ® (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: f/ Comiletion o the ollowin, table ma be waived b the Inspector o Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers Total KVA No.of Luminaire Outlets No.of Hot Tubs Generators ( KVA � Z No.of Luminaires Swimming Pool Above ❑ In- `o.o mergency ig ing rnd. .rnd. � Batter Units No.of Receptacle Outlets N o.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and No.of Ranges Initiatin. Devices No.of Air Cond. Total No.of Waste Disposers Tons No.of Alerting Devices HeatTottamp Number Tons KW No.o Sel - ontained No.of Dishwashers Detection/Alertin. Devices Space/Area Heating KWLocal Di Municipal No.of D ers Connection Other Heating Appliances Kam, ecurtty stems:* No.of Devices or E i uivalent No.of Water No.of Heaters KW No.of Data Wiring: Si ns Ballasts No.of Devices or E i uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E 1 uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 5' - 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 IN BOND 0 OTHER I certify,under the pains and penalties o �,, 0 (Specify:) FIRM NAME: fper u that the information on this apP lication is true and complete. Licensee: LIC.NO.: 2 ( ,2.-ff-- Signature(If applicable t, �- LIC.NO.: 4- exemt "in the license numb > ine.) Z�—S1 - Address: ,, • G,1a h - Bus.Tel.No.: �5�,'*Per M.G.L. c. 147,s.57-61,security work requires Department : Public Safety`S'License: Lic.No. Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norm required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑ownerg normally y Signature 0 owner's a�ent. Telephone No. PERMIT FEE: $