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Home My WebLink AboutBLDE-22-007358 or r1 (13/ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007358 kBOARD 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:6/22/2022 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) 99 ROUTE 6A Owner or Tenant DOHERTY JOHN W TRS Telephone No. Owner's Address DOHERTY MARTHA P, 727 W ROXBURY PKWY, BOSTON, MA 02132-2107 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: Generator,split system,&sub panel 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 1 KVA 18 No.of Luminaires Swimming Pool Above o 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 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 TotaloNo.of Alerting Devices 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 Ballasts Data Wiring: Heaters Siens 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 ? t11ce 1 RECEIVED . -rre<rt ei'1 , 1 ( �6G', 1 JUN 212022 ; v UJ JUN 2 2022 1.,rs �,! y . •i cial I 1 V- p �onu�wnwsa[A►a rARTMN— lo / • B -- ---- Permit �� li/lanli��llj L c P 4 R TIS N T TT- o ld �spartmsnl o ire rrvicee - •' _ VP' ' Occupancy and Fee ecked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] leave blank i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (/1., -- 2- ' 2 Z_ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned es notice is m on to perform the electrical work described below. Location(Street&Number) ` el9 / pt�t.•Jl 64 Owner or Tenant V-v;s ` Telephone No. Owner's Address Is this permit in conjunction a bd�ng permit? Yes ❑ No 8 (Check Appropriate Box) Purpose of Building 1�`.c In at ( Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters j4ew Service Amps / Volts Overhead El Undgrd❑ No.of Meters Number of Feeders and Ampacity Locatio and Natu of Proposed Electrical Work: (3 n (J r i n t ,7?,�i be. Sufirne, 5v Completion ofthefollowing.table mw be waived by the Inspector of Wires. tb No.of Recessed Luminaires No.of CelL Tra.of Total ns-Snap.(Paddle)Fans Toansformers KVA KVA Y CA. No.of Luminaire Outlets No.of Hot Tubs Generators KVA /r k No.of Luminaires swimming p� Above ❑ In- ❑ No.of mmergenclLtgnting Ern grnd. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and 4 Initiating Devices t LI No.of Ranges No.a Air Cond. 1 ransi 3 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: •.. Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Munninecttodp n 0 Other Co No.of Dryers Heating Appliances KW S Na orb or Equivalent y No.of Water KW No.of No.Of s Data Wiring: ters Signs No.oevi or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te.of Devices oEquivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated ValueEI tricaJ,Work: (When required by municipal policy.) Work to Start: f L- 2 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 0 (Specify:) I certify,under the pains and penalties of Deja'',that the information on this application is true and complete. FIRM N _,..winwo► LIC.NO.: 2 f i 2 8"-/9 Licensee: ..., �D OV".. • Sign —ma IG- LIC.NO.: 5-'22-- -(3 (if applicable,enter"... t" .then line. -we'Address: ': .. rGI (_� . L4 = iL LI' ' i ?�r Bus.TeL No .:�7 11588 71 6 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires a ., ,'of Public Safety"S"Lic . . 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,l hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Signature �Owner/Agent Telephone No. 1 PERMIT FEE:$ 7 5