The URL can be used to link to this page

Home My WebLink AboutBLDE-23-01744 of k, Commonwealth of Official Use Only i.. Massachusetts Permit No. BLDE-23-001744 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:10/3/2022 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 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Arrlps Volts Overhead 0 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: Upgrade service&install generator 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 1 KVA 14 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 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 ❑ 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. 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. I PERMIT FEE: $50.00 Ifg- 1( tC(" i& RECEIVED SEP 2 9 202� raj *; �yw, o as o f///adeachweila Official Use Only LA 1 NG DEPART aparlmanl n`�. & Permit No. /7 11- ----- �„: orarce "' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked "' Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 1 �'I // 2, Z Z._. 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. Lexation(Street&Number) 1 ,IVnUri.Vl C YG�_, Owner or Tenant /PIVU 1 Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes C No Purpose of Buildin (Check Appropriate Box) Utility Authorization No. Existing Service LC? Amps (Z. /2,40 Volts Overhead �Undgrd No.of Meters ' New Service ZC ? Amps j?..()/340 Volts Overhead21. Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,; ,--alj( �4,J r a ` AJdJ KLI((.e. t f�;� k ` Completion of the following table may be waived by the Inspector of Wires. tl No.of Recessed Luminaires No.of Ceti:Sus . No.of Total .% p (Paddle)Fans Transformers No.of Luminaire Outlets KVA No.of Hot Tubs Generators I KVA p -':' 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 INo.of Zones 12 -,. No.of Switches No.of Gas Burners No.of Detection and l t 1 No.of Ran es Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained Totals: """ "" I Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW �❑ Municipal No.of Dryers Heating Appliances KW Security Syst ms Connection ❑ � No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent �" r� c)( --Attach additional detail if desired,or as required by the It:vector of Wires. Estimated Value of lee ical Work: I5 O� . ; Work to Start: q t (When required by municipal policy.) 2 - 2. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 comple FIRM NAME: e P�J y, Licensee: LIC.NO.: Signature .� 5. ((' LIC.NO.: (If applicable,en er_"exempt"lathe licens ber e num li Address: Bus.Tel.No.- ' Alt.Tel.No.: 'Per M.G.L.a 147,s.57-61,security work requires Department of Public Sa ety"S"License; Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage —" required by law. By my signature below,I hereby waive this requirement. I am the(check one II owner Owner/Agent normally Signature � owner's a:ent. Telephone No. PERMIT FEE:$