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HomeMy WebLinkAboutBLDE-22-001727 of Commonwealth of Official Use Only i.. _ Massachusetts Permit No. BLDE-22-001727.ATTA BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:9/27/2021 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) 1103 HEATHERWOOD Owner or Tenant ONEILL MARY E TR Telephone No. Owner's Address ONEILL FAMILY REALTY TRUST, 1103 HEATHERWOOD,YARMOUTH PORT, MA 02675 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: Replacement HVAC 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 ❑ In- grnd.Above grnd. ❑ 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Ton 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 ❑ 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 Signs 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 0 owner's agent. Owner/Agent Signature Telephone No. !PERMIT FEE:$50.00 I Gti..,A lot b., MO, b gq,�� ' 1 y Commonwea/b( yyj o`//laddarhudelfd Official Use Only , Z7--V7Z b B` .' c� c7 n Permit No. U '; �CJslvarinrsnl o�,}irs Serviced ;' 1 J BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked \'?„. . - ' [Rev. 1/07] (leave blank) v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC),527 CMR 12.00 8 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIONI Date: £ 2.'-1 i City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives of is or h ves notice j ► tention to perform,the electricalw�rk described below. (Street Street&Number) © O f-takg-Ku)dt pi-. a _ 79 gO 3 ``. Owner or Tenant Le 4L2 Telephone No. S�t�36 Z-7a 2� Owner's Address Is this permit in con ju tion wi a baffling permit? Yes 0 No 6 (Check Appropriate Box) Purpose of Building -€5/ -. C' l 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 Ampacity Location and Nature of Proposed Electrical Work: f( V 1 C j ICI tG _'-]i m ��✓j/ .y.„) Completion of thefollowingtable may be waived by the Inspector of Wires. tii No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA C.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA <A, No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units l No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Switches No. I o.1 of Detection and of Gas Burners Initiating Devices 11, No.of Ranges No.of Air Cond. ( Total 1 Tons S No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons po Totals:I.N....____ ......._.... __..�.j -No.of Self-Contained- t Detection/Alerdn Devices No.of Dishwashers Space/Area HeatingKW IVTunicf Other Local❑ Connection ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Estimated Valu f E W Attach additional detail if desired,or as required by the Inspector of Wires. Work to Stan: � rE ct i '� . (When required by municipal policy.) spections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: U less 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. •CK ONE: INSURANCE Q BOND ❑ OTHER 0 (Specify:) t.ce, fy,under the pains and penalties ofperjury,that the information on this application is true and complete. CR fm ' 'a •' NAM ` ` /"— LIC.NO.: Z t!� ' R i c• i Ri c e ,see: 4 G Signatur' f o Wf .livable,enter"e e ' the license nu ber ' LIC.NO.: Z-? — Add ess: ' e &; / Al::Tel.No.• - � � ii a - Viper M.G.L.c. 147,s.57-61,security work requires Department o blic Safety" �cense: IL Licl. o.No.: O ER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — Lreq by law. By my signature below,I hereby waive this requirement. I am the(check one • owner ■ owner's Ow r/Agenter s a:ent. n.z Cr tore Telephone No. PERMIT FEE:$ 0 AO,