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Home My WebLink AboutBLDE-22-003512 Official Use Only toner Commonwealth of Massachusetts Permit No. BLDE-22-003512 w 4...• BOARD OF FIRE PREVENTION REGULATIONS Occupancy asfd Fee Checked [Rev.l/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:12/23/2021 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) 15 GANNET RD Telephone No. Owner or Tenant SULLIVAN KEVIN P Owner's Address SULLIVAN ELAINE C, 14 POTTER CIR, NORTHBORO, MA 07532 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Che s propriate Box) Purpose of Building Utility Authorization No. • . � ,,, :,,, Existing Service Amps Volts Overhead 0 Undgrd 'Z • 'rs Volts Overhead 0 Undgrd ' 11 . New Service Amps Number of Feeders and Ampacity 1! i Location and Nature of Proposed Electrical Work: Wire 14kW generator. 0 AC:u I 8....) . Completion of the following e may . iv"i.,i , nspector of Wires. otal q,(1: › No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) No.of Fans Transfor e � ; TVA K No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIan,. ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ - grnd. nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump I Number I Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices ❑ Municipal No.of Dishwashers Space/Area Heating KW LocalConne ion ❑ Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent NoNo.of No.of Ballasts Data Wiring: He Water KW Signs No.of Devices or Eauivalent Heaters Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent 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 OTHER 0 (Specify:) CHECK ONE:INSURANCE 0 BOND 0 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 LIC.NO.: 21928 Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: 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❑ owner ity❑ owner'insurance s coverage en normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) Owner/Agent PERMIT FEE: $50.00 Signature Telephone No. /�ommoruoeaCiia pp��// o///l ma�aach/u�eth Official Use Only C, === Permit No. E-ZZ-3..57 Z f=_mil.= 2epartmenl o f ire ervicea 4._ _ , Occupancy and Fee Checked CI '- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 111 1 ^ 2 i PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK „"- l N < All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 r---1 'tP. ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12/21/2021 LiJ ,, City or Town of: Yarmouth To the Inspector of Wires: LV 43y is application the undersigned gives notice of his or her intention to perform the electrical work described below. Ili o ® io,�tion(Street&Number)15 Gannet Rd. re 1 b. er or Tenant Sullivan Telephone No. 508-735-7521 - 1 wner's Address Is this permit in conjunction with a building permit? Yes fl No 0 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Generator wiring Ale-(/- 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 14 Above In- No.at Emergency Lighting No.of Luminaires Swimming Pool Arnd. ❑ 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 No. No.of Waste Disposers HeatPump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local El Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Telecommunications Wiring: 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 Wit-es. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:12/20/2021 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 II BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: �-� LIC.NO.:21928-A Licensee: Kung-Po Tang Signature,; �,,.-' LIC.NO.:522as-a (If applicable,enter "exempt"in the license number line)) ,,,.'""" Bus.TeL No.:"'"— /. ,t{�1 516 Cotuit Rd.Mashpee,MA 02649 �'`° Alt.Tel.No.: Address: fir_ i *Per M.G.L.c. 147,s.57-61,security work requires Dtfartnient of Public Safety"S"License: Lic.Noe 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 Telephone No. I PERMIT FEE: $ Signature