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Home My WebLink AboutBLDE-23-000477 Commonwealth of Official Use Only Permit No. BLDE-23-000477 fE Massachusetts 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:7/29/2022 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) 9 MOORING LN Owner or Tenant HEISLER THOMAS J Telephone No. Owner's Address THOMPSON-HEISLER TERESE, 9 MOORING LANE, SOUTH YARMOUTH, MA 02664 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 wiring. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 22 No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs 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 LIC.NO.: 21928 Licensee: Kung-Po Tang Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N Address:518 COTUIT RD, MASHPEE MA 026492351 *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. I PERMIT FEE: $50.00 I lag;c0., c/ 'i C //�� pp,,(( j Official Use Only (. _ (�onur+onauealth o�fi/a achu�B = —� 7 *_ -��t t� c� Permit No. Z3 Lt 7 —9 aUepartment o f.}ire Serviced ;trimild t, Occupancy and Fee Checked f BOARD OF FIRE PREVENTION REGULATIONS (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 TYPE ALL INFO TION) Date: 7-- a s - Z'Z— City or Town of: Yo+v m.-2 To the Inspector of Wires: By this application the undersigned gives notice of his or her int ntion to perform the electrical work described below. Location(Street&Number) ( MQ27)"-0 _ Owner or Tenant /1 Gvy� Telephone No. (/7'j3S -435"r Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I 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: 4 Q,r.0,.6-.� t ti Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceii:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA a Z Above In- No.of Emergencylaghting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units f No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number.Tons_.. KW No.of Self-Contained No.of Waste Disposers Totals: ,,Detection/Alerting Devices ; Municipal No.of Dishwashers Space/Area Heating KW I Local❑ Connection 0 Other Heating Appliances KW -Security Systems:* Na.of Dryers No.of Devices or Equivalent No.of Water ICVV No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value Electrical Work: (When required by municipal policy.) Work to Start: --LS—LL 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 coA erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ( BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 2(5 2-4P---79 Licensee: CG . —/ C Signature LIC.NO.: -sue-�p (If applicable, enter" xa p in e license nt "line .- Bus.Tel No: jo �4 '6' �V Address: S�i (a e, '1` A el d 2-6( Alt.Tel.No,: *Per M.G.L.c. 147,s. 57-61,security work requires Dep ent of Public Safety"S"License: 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,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No.