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Home My WebLink AboutBLDE-23-002566 • or �� Commonwealth of A Official Use Only Massachusetts Permit No. BLDE-23-002566 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:11/9/2022 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 DON DELBUANO Telephone No. Owner's Address 16 JOYCE ST, SOUTH YARMOUTH, MA 02664 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 boiler 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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: 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 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: $50.00 L tilts tri, A)/ l2/4h/L ' Appl er: C.L.D.# __�'`�-- -, nweanh of nto:c chusef(a Official Use Only MOW ' :_�I=�� 08 padmenl o� ire.Services Permit No. — � =a_,:I_ zo z e,' Occupancy and Fee Checked j � . , BOARD F IRE PREVENTION REGULATIONS a U&p,d,k [Rev. 1/07] (leave blank) AP FOR PERMIT TO PERFORM ELECTRICAL WORK All work to performed in accordance with the Massachusetts Electrical Code EC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) , Date: 1l/8 22 City or Town of: PT)7Rtvvth Yi1 BMOC, l`1 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&Nu b (j �1 er) ' O Parcel ID: Owner or Tenant t Telephone No. Owner's Address Is this permit in conjuntion with a building permit? Yes ❑ No ' (Check Appropriate Box) Purpose of Building 0 LIde.:(1(..X.kic, Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of feeders and Ampacity Location and Nature of Proposed Electrical Work: trl 1:R E j J 4-.oP 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 Above In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool 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 Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Hot Pump Number Tons KW WO.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipaln 0 Other C onnect io No.of Dryers Heating Appliances KW security Systems:* No.of Devices or Equivalent No.of Walter 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 E ctr' al Work: /GriI;`'e (When required by municipal policy.) Work to Start: ZZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O E AGE: 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. DO CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) .-� I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: rie-C=7 '/G �6 LIC.NO.: `1 I' /"I Ial�i�'Z, i ,�S/�tyy �/./fe Signature �I1 nolce471 "� Licensee: a /" J� I LIC.NO.: tl1�i � (If applicable,epter"exempt,.;in-The license number li e ),. Bus.Tel.No.: Address: 6hA4,r,4614 Pyrivi. � 0i Alt.Tel.No.: *Per M.G.L.c. 147,s 1,security work requires Department of Public Safety"S"License: LIC.NO.: `J 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. 1 am the(check one)❑owner 0 owner's agent. Owner/Agent f PERMIT FEE:$ I Signature Telephone No.