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Home My WebLink AboutBLDE-22-007359 Commonwealth of Official Use Only - ' Massachusetts Permit No. BLDE-22-007359 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: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) 101 MERCHANT AVE Owner or Tenant HARRIS CAROLE Telephone No. Owner's Address CARR LINDA J, 101 MERCHANT AVE,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 ❑ 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 18 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/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 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 ❑ 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 - t\ R E C Vz/4_,D R C. �� JU212022 1v �' Commn � 4 Maeaarlttsedla Offici U Onl�( -,1NG DEPARTMENT Lto ", • l = c-�r s n wicse Permit No.( / L �J ��1 ' i', ;I( „" DEPARTMENT J B Uf DING UEP M`_ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee qRT Rev. I/07 _ NT (leave blank) -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ix All work to be performed in accordance with the Massachusetts Electrical Code MEC),527 CMR 12.00 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t - L/--2- 2.- City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned fives notice of his of h/er inter' perform the electrical work described below. ce Location(Street&Number) �QI e�'G G+� (� c Owner or Tenant p t-r i Telephone No. gc- 7Cd—fo4 v Owner's Address / Y Is this permit in conjunction with a building permit? Yes 0 No Of (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 8 0 No.of Meters Number of Feeders and Ampacity \\ Location and Nature of Proposed Electrical Work: s 4° Completion of the followingtable maybe waived by the Inspector of Wires. (24 . No.of Recessed Luminaires No.otCeil.-Soap.(Paddle)Fana No.of KVA to Transformers No.of Lumindre Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency tgpting `f No.of Ilteoeptacle Outlets trend. end' ❑.Battery Units No.of 011 Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and I kF No.of Rangesotal Initiating Devices ng No.Siof Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number ors KW No.of Self-Contained Totals:l'.."__ "- -}- - -•••.• Detection/AtertintDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection 0 ��' tY Heating Appliances , Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Whin No.Hydro massage ge Bathtubs Signs Ballasts No.of Devicesg 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 Electrical Work: Work to Start: re- (When requitedby municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAG : 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 undersigned certifies that such coverage is in force,and has ehiibited tfsame oov coverage or its substantialssuingoffice.quivalent: The CHECK ONE: INSURANCEi f permit issuing I certify,under the pains and �� 0 OTHER 0 (Specify:) FIRM N ofperjury,that the information on this application is true and complete. Licensee: r 0 S atu w LIC.NO.:� �f} (If applicable, t"in th /i LIC.NO.: Address: _ umber I .) O 1� Bus.TeL No. .ifi tie 'VeC *Per M.G.L.c. 147,s.57-61,security work requirescfety Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am wa are that the Licen does nnoot have the liability insurance coverage n�` required by law. By my signature below,I hereby waive this requirement. I am the(check one owner y Owner/Agent Signature � owner's+:eat. Telephone No. PERMIT FEE:$