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Home My WebLink AboutBLDE-22-006433 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006433 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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) 43 PAYSON PATH Owner or Tenant MURRAY MARILYN Telephone No. Owner's Address 43 PAYSON PATH, WEST YARMOUTH, MA 02673 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 L New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Split A/C system. Completion of the following table may be waived by the Inspector of Wires. I 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 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 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 ❑ 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 V' Commonwealth.o/VamacIxusetIe Official Use Only t* ` 't c� Permit No. CZZ,(4 33 t� Apartment all ire.erviceI R E C * [_+ j D Occupancy and Fee Checked +r~ / 1 B to OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) MAY ° ► LIC TION FOR PERMIT TO PERFORM ELECTRICAL WORK A 1 work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 BUILDING DEPARTM � '�Z_ By (PLEASE PIN IN INK OR TY E LL INFOR ATION) Date: City or Town of: y,-n c.A.'t i^ To the Inspector of Wires: By this application the undersigned gives noti e of his or her intentio to p r orm the electrical work described below. Location(Street&Number) 4 3 o../�]c,,.-1 Vc t Owner or Tenant �l y / Telephone No. ,ZTd'—Z,,;,5%35 5 7 1 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No FA (Check Appropriate Box) Purpose of Building GJ' -1-A, ( Utility Authorization No. Existing Service Amps I 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: In j -- �1/./ Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trrano KVA Tf KVA sformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units 9 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 g Tons SeNo.of No.of Waste Disposers Heat Tota Pump -Contained Number Tons KW Detection/Alerting 1 Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of Dryers Heating Appliances KW Security Systems:* rJ No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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 7 '2-7 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 21, BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: , LIC.NO.: 2 (92 - Licensee: (C (' -re) r,,,,(. Signature , .--C LIC.NO.: ^Z� - (If applicable n pt"I he keense nj ber k t ed / Bus.Tel No.:-� 'l--6 75�6 Address: D 1 tit i-C ct t G+ c l �4' --`1 Alt.Tel.No.: *Per M.G.L.e?1�,s.57-6 ,security work requires Depart ent of Pu lily c 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. 1 am the(check one)❑owner 0 owner's agent. Owner/Agent PERMIT FEE: $ CO Signature Telephone No. 01 / '