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Home My WebLink AboutBLDE-21-001616 Commonwealth of Official Use Only fi. Massachusetts Permit No. BLDE-21-001616 ;,,_, - 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:9/28/2020 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) 96 CAPT NOYES RD Owner or Tenant OROURKE OWEN JR Telephone No. Owner's Address OROURKE CLAUDETTE,96 CAPT NOYES RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr-to Box) Purpose of Building • I Ir G P Utility Authorization No. r Existing Service Amps Volts Overhead 0 Undgrd 0 (It of New Service Amps Volts Overhead 0 Undgrd 0 ,I e • .lA7/'�.; Number of Feeders and Ampacity F Location and Nature of Proposed Electrical Work: Install generator. p R �Q V � Completion of the following table may be waive, / h: ^• , : of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ' , .) Transformers • No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 13 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 No.of Detection and Initiating 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/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 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 ❑ (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 tad- - Z f c '-zc/-.o I (� /eA/yo i �3 (CtizzAft 1 ) 10b/ -a i _ L i 0 ri,46-9) 1 /� _t rryyyy�� 1 Conwsonsveaa a t'/la acl`iva to !al Use Only `, Pertnit:No. 2t - ( C(o d Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev._1 (leave blank) cj APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK %Vl All work to he performed in accordance with the Massachusetts Electrical R),527 CM 12.00 (PLEASE PRINT IN INK OR TYPE INFORMATION) Date: ( s- 2-1)J` City or Town of: 7 I"- rn AL To the Inspector of Wires: By this application the undersigned givesg notice of his or her intention to perform ectrical work described below. Location(Street St Number 'p P rc (,.,,, ND (S ` Owner or Tenant 0/ i o u-l r Telephone No.,S 2)8-'.3/51.„S2)‘( hi C Owner's Address Is this permit in conj. , with a Wig, Yes 0 No,J (Check Appropriate Box) Purpose of Building 'S l N.r-n -er q.( Utility Authorization Na. Of Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters . 4 New Service Amps / Volts Overhead 0 Undgrd ElNo.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: 4ye._ -,...— Completion of thefollowi>ktable mpt be waived by the! for of Wires. NA No.of RecessedLuminaires No.of CelL-Snap.(Paddle)Fans Inspector Torn ers KoYtAcki CI No.of Lombok.Outlets No.of Hot Tubs Generators KVA 1 Above In No.or,tmergedcy Lign;ting No.of Luminaires Swimming Pool g Q grad. Rattery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and . No.of Switches No.of Gas Burners No.afIn a Devices No.ofln t Ranges No.of Mr Cond. Tens No.of Alerting Devices No.of'Waste Viers Heat Pump Number Toes. KW °No.off-Contained Totals: Detection/ .,a . , Devices No.of Dishwashers Space/Area Heating KW Local Muni a . , Connection No.of Dryers Heating Appliances KW o. for Equi lent No.of Water KW No.of No.of Dan Wiring. Signs Ballasts No.of Devices or fa slant No.Hydromassage Bathtubs No.of Motors Total HP t ommn stfons:W: P . NoaafD�evieesorEqF t OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value 94Electrical Work: (When required by municipal policy.) Work to Start: (--t 1- c'' Z') motions 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 [it BOND 0 OTHER El ( fir) I certify,under the pains and penalties of perjury,that the information on this application is trite and complete. FIRM N LIC.NO.: 3-(9 2!4 Licensee: v Signature LIC.NO.:.-7 Z-- Of applicabk,enter" t"in t i 9 1. ,t Bus.Tel.No.7k7-L 7J - z)d Address: tr. a 5n ✓A ale;CI *Per M.G.L.c. 17 s,57-61, workAlta TeL No.. + security requires t of Public Safety"S"License: : I..ic.No. OWNER'S INSURANCE WAIVER: 1 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)CI owner 0 owner's agent: Owner/Agent Signature Telephone No. PERMIT FEE: