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Home My WebLink AboutBLDE-22-001034 -� .... Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001034 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:8/24/2021 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) 3217 HEATHERWOOD Owner or Tenant LEON JOHN M JR Telephone No. Owner's Address CIO CARROLL ANN,29 CRANBERRY LN, SOUTH YARMOUTH, MA 02664 �� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro iQe Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ E.. e Ala _ New Service Amps Volts Overhead 0 Undgrd 0 v„ . A Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC. 0 O 0 , :;, Completion of the following table may be waived by n , . Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , Transformers K • 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 1 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 Eouivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 Commonwealth.o/Kadaclumeti.i Official Use Only '— c €'L L—U�. �,=Et 7 Permit No. a n ? 2eparimenl o`.}ire�erviced __,i_ Occupancy and Fee Checked N ^ ='_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) i N Y I c 1 ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11.11 al G�2 0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 V I CO 6) , ASE PRINT IN INK OR TYPEALL INF RMATION) Date: —0 9-2( ill r 'Q I° ; City or Town of: Avmoc I-A To the Inspector of Wires: cr 1 I By is application the undersigned gives notice of is or her intention to perform the,electri al work describedib below. tic:tion(Street&Number) 0 (�ee 1i v toed Pk : L�31 1-f 5 1 ?trJ�i�� ✓e" 3 Z 7 Owner or Tenant Telephone No. Owner's Address is this permit in conjunction with a building permit? Yes ❑ No RI (Check Appropriate Box) Purpose of Building Korn fryirc re, l Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: rL.r 1.1 t 3 rwti'rt.u..cj )_,7(( a, ,7- Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf 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 Initiating Devices No.of Ranges ( Total g No.of Air Cond. r Tons No.of Alerting Devices 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: 3• -11- if 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 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and pen hies of perjury,that the information on this application is true and complete. FIRM NAME: LW.NO.: Zi 9 z S''4 Licensee: — o e Signature .- / L1C.NO.: S` 2 Z u (If applicable, t r ' xe pi the lice a qumber li .) Bus.Tel.No.: '�S'd'7w4 Address: 1r �I '/bt;e -€{ , ) ') fe ifY k D 1(`t 1► Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires D artment 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 gent Telephone No. PERMIT FEE: $ (l;%I ii