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Home My WebLink AboutBLDE-23-000296 a..`.p Commonwealth of Official Use Only A�. �■ Massachusetts Permit No. BLDE-23-000296 AIM '. 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:7/19/2022 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 JOYCE ST Owner or Tenant HURLEY WILLIAM E TRS Telephone No. Owner's Address HURLEY DOROTHY M,43 JOYCE ST, SOUTH YARMOUTH, MA 02664-2938 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: Replacement panel; 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 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 an ' <‘,./4.1 //I-74N _Initiating Devices /ir --- 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 Jjr No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Oth : 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 ❑ 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 • — Vv t Commonwealth of Jaaeacju�eett4 Official Use Only t: s 2c� t t �1} /\'� Permit No. L:_---?j --O .� c epaelment O��Tipe .�Jery ce3 ` ;,-:;'' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 E LL INFOR TION) Date: City or Town of: thisvu. To the Inspector ofWires: y application the undersigned gives notice o his or her intention to perform the electrical work described below. Location(Street&Number) ,j Sex S(7- Owner or Tenant 5 G t (0 Owner's Address � ( �?'eh'" Telephone No. Is this permit in conjunc 'on with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building 5, ge--4 , / Utility Authorization No. Existing Service Amps I Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead C Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 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 KVA No. of Luminaires Swimming Pool Above ❑ In- No.of.Emergency Lighting grad. grnd. ❑ Battery Units _ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Other ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of bevices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs 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 Valuei f Electrical Work: (When required by municipal policy.) Work to Start: ' —2 Z_lnspections to be requested in accordance with MEC Rule 10,and upon co INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work maytissue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov same rage is in force,and has exhibited proof of to the permit issuing office. CHECK ONE: INSURANCE ,1 BOND D OTHER ❑ (Specify) I certify, under the pains and penalties operjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: /32 /- Licensee: G49'L Sigua _ -�`ems (If applicable, enter " .empt'in the license ill her line.) Tel. NO.: ' —15 Address: C / Bus. No.: 1 ri�-6ie 73r6 *Per M.G.L. c. 147.s. 57-61,security work requires Department of Public Safety"S"License: Alt.L c.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/Agent ❑owner's a eat. Signature Telephone No. PERMIT FEE: $