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Home My WebLink AboutBLDE-21-005383 oR Commonwealth of Official Use Only 1 -1,cl Massachusetts Permit No. BLDE-21-005383 BOARD OF FIRE PREVENTION REGULATIONS Occupancy p y 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:3/19/2021 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) 2 DOVE LN Owner or Tenant HINES PAUL V JR TRS Telephone No. Owner's Address HINES MARY E TRS,2 DOVE LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap , , late Box) Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 o.o t New Service Amps Volts Overhead 0 Undgrd 0 , O Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for split system&receptacle for dehumidifier.4:::5A, 1 /2'O O Completion of the following table may be w. , . s for of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 3 I�=al Transformers No.of Luminaire Outlets No.of Hot Tubs Generators 'A No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets 1 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. 1 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 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: 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 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 . = eommonweanh o`!/laddachu9ettd Official Use Only L ►*,—4 = -1 cc�� cc77 Permit No. C 2- ` `, z .Tb4partment el ire Serviced _t(=s Occupancy and Fee Checked '�; BOARD OF FIRE PREVENTION REGULATIONS [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 TYPE ALL INFORMATION) Date: 7 -/X - 11 City or Town of: YG•v,-yl,,,t t, 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) R ✓e Le,_1 Owner or Tenant eiv,",e7-ytyy�� Telephone NC/ / - 75'_315� Owner's Address is this permit in conjunc ' n with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building it,,-, 'i , c" ' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: / , y ,- A f L,0.f I� 4w} � ,J.T.ev 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 Trr ano KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting _grid. g_rnd. ,Battery Units No.of Receptacle Outlets L No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices f 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 ❑ 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: '/ Z. - 2 nspections 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 [l 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: I -- LIC.NO.: 2- (5 z j 4 Licensee: j/vti % v (d., Signs L1C.NO.:5-2 Zg-8 (If applicable,enter " xe pt"in the license nu be line.) ,- Bus. Tel.No.• 7c�I ZrZe 7.S�6 Address: S7r /,:_i_ , ( /2-, .Ike 1-4---' 0 26 ' Alt.Tel.No.: Per M.G.L.c. 147,s.57-61,security work requires Department 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $