HomeMy WebLinkAboutBLDE-22-004061 Commonwealth of Official Use Only
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E_ +� Massachusetts Permit No. BLDE-22-004061
.1„: BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
' (Rev.1/07l
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:1/24/2022
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) 356 GREAT ISLAND RD
Owner or Tenant TAICLET JAMES D JR Telephone No. �
Owner's Address TAICLET CAROL D.5 COLGATE RD,WELLESLEY,MA 02482
Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Appropriate Box) rl/
Purpose of Building Utility Authorization No. ..s J
Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters yr_
New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Steam humidifier&2 HVAC systems.
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- a 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 2 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 2 Total No.of Alerting Devices
Tuns
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.
i 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
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C,omrront eaf1 o/ MaMackcJetfa Official Use Only
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~_ BL f L' f a .O F P EVENTION REGULATIONS (Rev. 1/07j (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
AU 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: 1/19/2022
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) 356 Great Island Rd.
Owner or Tenant Green Telephone No, 413-531-9429
Owner's Address
Is this permit in conjunction with a building permit? Yes n No • (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps / Volts Overhead l . Undgrd P No. of Meters
New Service Amps / Volts Overhead t'ndgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Steam humidifier and 2 hvac systems
Completion of the following table may be waived by the Inspector of Wires.
otal
No. of Recessed Luminaires No. of Ceil.-Sus p. (Paddle) Transformers KVAFansTf KVA
No. of Luminaire Outlets No. of Hot Tubs Generators KVA
No. of Luminaires Swimming Pool Above C- In- ❑ No. of Emergency Lighting
grad. rnd. Battery Units
No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones 4
No. of Detection and
No. of Switches No. of Gas Burners2 Initiating Devices
No. of Ranges No. of Air Cond. 2 Total Tons No. of AlertingDevices
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 ❑
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:
g No. of Devices or Equivalent
OTHER:steam humidifier
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: 1/19/2022 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 Q BOND n OTHER ❑ (Specify:) Email Address
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 Signs _ LIC. NO.:52286-B
(If applicable, enter "exempt"in the license number line) Bus. Tel. No.:781-686-7506
Address: 518 Cotuit Rd.Mashpee,MA 02649 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 p PERMIT FEE: $
Signature Telephone No. PER
cif'71%4 TOWN OF YARMOUTH
O BUILDING DEPARTMENT
o . Vint—7�1-91146 Route 28, South Yarmouth, MA 02664
N MA7TA C ' 508-398-2231 ext. 1263 Fax 508-398-0836
x'nano..to cf C;�
K. Elliott, Inspector of Wires
kelliott(ayarmouth.ma.us
March 1, 2022
Kung-Po Tang
518 Cotuit Road
Mashpee, MA 02649-2351
Location: Green, 356 Great Island Road, West Yarmouth
Permit Number: BLDE-22-004061
Dear George,
The above noted location inspection failed to pass for the reason(s) listed.
Article 210-63 Receptacle required
within 25 feet of equipment.
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth, Building Department
K. Elliott,
Inspector of Wires