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HomeMy WebLinkAboutBLDE-22-006460 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006460 .` 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:5/10/2022 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) 16 JOYCE ST Owner or Tenant PUTNAM EUNICE P TR Telephone No. Owner's Address THE EUNICE P PUTNAM LVG TRUST, 16 JOYCE ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of addition & upgrade service. Completion of the,following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 No.of Ceil.-Susp.(Paddle)Fans 1 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and Initiating Devices 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 6 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 Ballasts Data Wiring: 2 Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 2 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: DOUGLAS KAAKE Licensee: DOUGLAS KAAKE Signature LIC.NO.: 22184 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 BARNFIELD DR, PLYMOUTH MA 023601750 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: $75.00 11t4 /te— Al f,4 12 I3z:%zeLss' '"` RECEIVED MAY 0 9 2022 aws of ,,iaaaachuaetta Official Use Only '' PermitU q, „ ; cc77 No. L257-- �l \h._: UILDING UEPAR .� '. Ai o�.}irs Servicta ' , Occupancy and Fee Checked ....� _ ''' Bs . " • • = ' "EVENTION 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: 15-7-.Z 2. Ciity or Town of: //1 g/'Vd(f-j To the Inspector of Wires: By this application the undersigned Ives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 137:.)yc S-r Owner or Tenant i A) Telephone No. \----. Owner's Address /G 1 t� Is this permit in conjunction with a building permit? Yes I1 No El (Check Appropriate Box) ) Purpose of Building f)L lE(_/2C►tt(5 Utility Authorization No. 1,0 Existing Service ion Amps 1((3 iZ4() Volts Overhead Undgrd 0 No.of Meters I New Service 2173 Amps 171)04a Volts Overhead 15 Undgrd 0 No.of Meters I —N Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 F. to vJ 11 0191'TiOr31 1 J ((k.A( ` F..L crli.C., JE111 q Completion of the following.table may be waived by the 1n'ector of Wires. No.of Recessed Luminaires f No.of Ceil.-Susp.(Paddle)Fans / To.ransformers KVA No.of Luminaire Outlets 5 No.of Hot Tubs Generators KVA No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grnd. ❑ grnd. 0 .Battery Units No.of Receptacle Outlets 1 2_ No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners "No.of Detection and 7 Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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❑ Munnniection cipal ElC No.of Dryers Heating Appliances KWSecurity y No of Devices or Equivalent No.of Water Heaters2. KW No.of No.of Data Wiring: 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. Ail CO Estimated Value of Electrical Work: 7 n , (When required by municipal policy.) Work to Start: 5-7—za. 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 a BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete FIRM NAME K�J/gA.F: —Z- . C';Tf IC X NC, LIC.NO.: "..t_a41 Licensee: L✓C fl S 6 Mil,i I t'r, Signature /� 6 LIC.NO.: ", (If applicable,enter"exempt 'in the lice a number line. ��,r� 1T ��/" Address: ��j 15 4,9 z 0 ijr. ,i,/r1a /111i060 Bus.Tel.No. *Per M.G.L.c. 147,s.57-61,securitywork l e1 Alt.Tel. o. 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:5