HomeMy WebLinkAboutBLDE-22-006432 \(\ Commonwealth of Official Use Only
i Massachusetts
Permit No. BLDE-22-006432
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:5/9/2022
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) 7 CAPT YORK RD
Owner or Tenant ZWICKER DAVID A TRS Telephone No.
Owner's Address ZWICKER KEN P TRS, 7 CAPT YORK RD,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: Wiring of generator
Completion of the following table may be waived by th 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 10
No.of Luminaires Swimming Pool Above ❑ In- 0 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 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
CAlc '(7(2 0 011 6 4-q
;V.- _ Commonwealth of ralacLaelh Official Use Only
V V V\. p _-it .LlefrarEneenl ol fire Jervicea Permit No. Z '�t4 -5�i
[- - I` Occupancy and Fee Checked
\� 4.,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
C EA' ' II
TION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
MAY(P.4:i ' RI T N INK OR TY E LL INFORM4T1ON) Date: 5 ' 2 0 -2-Z'
City r own of: Yl c' To the Inspector of Wires:
BU aiNt33titiliPariftt Mal e undersigned hives notice of his or her i tenntionito perform the electrical work described below.
ev Number) ( Ctip 41 n 7 b✓/C k,
Owner or Tenant 2 w re Lem-- Telephone No.Ci 76"-S t 2-2jT-s
Owner's Address
Is this permit in conjunc 'on wit a building permit? Yes ❑ No 6,1 (Check Appropriate Box)
Purpose of Building ILeLP 1-1 la ( 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: P Arte k-f 111"-.' w 0-
Completion of thefollowin&table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators I KVA /b
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. In Initiatinnggon Dete and
Devices
No.of Ranges No.of Air Cond. Tot
No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Ott,
P Connection
No.of Dryers Heating Appliances KW Secority7ystems:*
i Y No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring.
No.H
Y g 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: I- c'7 Z. 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 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: LIC.NO.: Z ( 2 f fr
Licensee: IC Lt4,vS ' o Signature — y LIC.NO.:5-2.
2 r
(If applicable,enter"6erapt in the ticegrmber lin .) / Bus.Tel.No.; 5/- °'7SZ
Address: 5l r (.T ti i.i c�{{ G 0 Ili? ���, / It ek 10) Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Derkffent 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 age, .
Owner/Agent ` PERMIT FEE: $ S
Signature Telephone No.