HomeMy WebLinkAboutBLDE-23-005878 Commonwealth of Official Use Only
a 4(' ' ./ Permit No. BLDE-23-005878
Massachusetts
le,ffi„;7
._ 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:4/24/2023
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) 917 ROUTE 28 -('-ale .,- it:i 5-- e)
5
Owner or Tenant DAIRY QUEEN Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ 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: Install cabling for data ports.
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 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
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: 22
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 ❑ 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: BRADLEY W BOTTERON
Licensee: Bradley W Botteron Signature LIC.NO.: 949
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 550 TERRACE TRL E, LAKE QUIVIRA KS 662178507 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: $115.00
OIL St_ .S f)/2; i/ -
Email: Onlinepermits@wachter.com
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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:
City or Town of: South 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) 917 Route 28 South Yarmouth, MA 02664
Owner or Tenant Dairy Queen Telephone No. 479-270-8334
Owner's Address 7 APPLE TREE LN,Walpole MA 02081
Is this permit in conjunction with a building permit? Yes E No ►I (Check Appropriate Box)
Purpose of Building Commercial Utility Authorization No.
Existing Service Amps / Volts Overhead -1 Undgrd E No.of Meters
New Service Amps / Volts Overhead E Undgrd No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 917 Route 28 South Yarmouth, MA 02664
t Completion of the followingtable may be waived by the Inspector of Wires.
Total
Ui No.of Recessed Luminaires No.of Ceil.-Susp. Tr(Paddle)Fans Tr of KVA
ansformers KVA
Ct 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 No.of Detection and
Initiating Devices
I`, No.of Ranges No.of Air Cond. Total Tons No.of Alerting
Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
' 'Z. Totals: Detection/Alerting Devices
w INo.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:1
V.it N No.of Devices or Equivalent
o i i o.of Water KW No.of No.of Data Wiring:
Heaters Ballasts N 1 a Signs No.of Devices or Equivalent
I o o. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
uJ •• ' No.of Devices or Equivalent 22
t� a z ti THER: Install up to 22 new data cables for registers, kitchen monitors, kitchen printers, and card readers. _
IxIx 'Q O Attach additional detail if desired,or as required by the Inspector of Wires
5E,stimated Value of Electrical Work: 1800 (When required by municipal policy.)
_____w
Work to Start: 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 El BOND El OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Wachter Inc. LIC.NO.:
Licensee: Bradley Botteron Signatu C.NO.:949 MR
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 913-541-2500
Address: 16001 W 99th St., Lenexa, KS 66219 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)El owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$
Elliott, Ken
From: Elliott, Ken
Sent: Monday, April 17, 2023 10:18 AM
To: 'Trinity Huckaby'; Clarke, Kristin
Cc: Permit Team
Subject: RE: 942061 - PAR Dairy Queen 2023
At sometime around April 4, 2023 we received an incomplete electrical permit application. I have tried several times to
reach you but have only reached your voice mail.The application was submitted without a check for the fee or a copy of
the electrician's license that will be performing the work. Once these items have been received your application will be
submitted to be processed. Once issued you may then start the work.
K. Elliott
Inspector of Wires
Town of Yarmouth, Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 (Extension 1263)
kelliott@yarmouth.ma.us
From:Trinity Huckaby<Trinity.Huckaby@wachter.com>
Sent: Monday, April 17, 2023 9:55 AM
To:Clarke, Kristin<KClarke@yarmouth.ma.us>; Elliott, Ken <KElliott@yarmouth.ma.us>
Cc: Permit Team<PermitTeam@wachter.com>
Subject: RE: 942061 - PAR Dairy Queen 2023
Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are
sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
Good morning,
Can I have an update on our permit application?This is for the Dairy Queen located at 917 Route 28, South Yarmouth,
MA 02664.
Scope: Install up to 22 new data cables for registers, kitchen monitors, kitchen printers, and card readers.
Thank you,
Trinity uckab
SUPPORT SPECIALIST
a c ter Office:479-725-3337
wachter.com
1
From:Clarke, Kristin <KClarke@yarmouth.ma.us>
Sent: Friday, April 14, 2023 8:36 AM
To:Trinity Huckaby<Trinity.Huckaby@wachter.com>; Elliott, Ken<KElliott@yarmouth.ma.us>
Cc: Permit Team <PermitTeam@wachter.com>
Subject: RE: 942061 - PAR Dairy Queen 2023
This Message Is From an Untrusted Sender '.
You have not previously corresponded with this sender.
Hi Trinity,
I will let Ken Elliott(Electrical Inspector) reply to your email. I believe you are looking for your electrical permit.
Thank you,
Kristin Clarke
Office Assistant
Building Department
508-398-2231 x1261
From:Trinity Huckaby<Trinity.Huckaby@wachter.com>
Sent: Friday, April 14, 2023 9:18 AM
To:Clarke, Kristin<KClarke@yarmouth.ma.us>; Elliott, Ken <KElliott@yarmouth.ma.us>
Cc: Permit Team <PermitTeam@wachter.com>
Subject:942061- PAR Dairy Queen 2023
Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are
sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
Good morning,
I am reaching out for an update on our permit application for the Dairy Queen located at 917 Route 28, South Yarmouth,
MA 02664.
Scope: Install up to 22 new data cables for registers, kitchen monitors, kitchen printers, and card readers.
Thank you,
Trinity a
SUPPORT SPECIALIST
wachter Office:479-725-3337
wachter.com
2