HomeMy WebLinkAboutBLDE-23-15904 . _ . " /A) .
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ELECTRICAL PERMIT
Job Address: 32 SHAKER HOUSE RD Unit:
Owner Name: EVANS HENRY K DYSART KAREN L
Owner's Address: 32 SHAKER HOUSE RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15904
Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: add 10 recessed lights and 10 plugs to basement(774-317-0593)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 3,998 Work to Start: May 19, 2023
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: KENNETH E BROWN License Number: 21117 •OL
Security System Business requires a Division of Occupational Licensure �,,,, �4 &O
"S" LIC. License Numbe�5 d� -I-0
Address: 3 Michael Rd Franklin MA 02038
Email: office@tatraco.com Business Telephone: 774-317-0593
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.
INSURANCE:
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RECEIVED
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„, .,,,! _ r MAY 19 20? . o,A� .� �e, Permit No. St-de: z 3 -iS 9e y
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Occupancy and Fee Checked
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Al!work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MLR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/1/2023
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) 32 Shaker House Road Yarmouth Port, MA 02675
Owner or Tenant Henry Evans Telephone No.774-268-1205
Owner's Address 32 Shaker House Road Yarmouth Port, MA 02675
Is this permit in conjunction with a building permit? Yes El No 0 (Check Appropriate Box)
Purpose of Building Residential 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: Add 10 Recessed Lights and 10 Plugs to Basement
Completion of the following table mar be waived by the Ixsector of Wires..
No.of Recessed Luminaires 10 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- ri No.of Emergency Lighting
iirnd. grad. ,Battery Units
No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches `No.of Gas Burners "No.of Detection and
•- _ Initiating Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers 'teat Pump Number Tons.__„-KW _„ No.of Self-Contained /
Totals: DetectionlAtertin�Devices
No.of Dishwashers Space/Area Heating KW Local 0 lginnection niel t E"Other
C
No.of Dryers +Heating Appliances KW Secu o y
of Devices or Equivalent
No.of Water "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 Electrical Work: $4,000 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE (}] BOND 0 OTHER 0 (Specify:)
I cert fy,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Tatra Building Company Inc MC.NO.:744 Al
Licensee: Kenneth Brown Signature /(4,40,b.G1Uh, LIC.NO.: 21117A
(Ifapplicable,enter "exempt"in the license number line.) Bus.Tel.No.:774-317-0593
Address: 3 Michael Rd, Franklin MA 02038' Mt.Tel.Na.:774 30ti 1497
*.Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. ''
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by taw. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$
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Tatra Building Company Inc
1268 Route 2
Set YamYarrnotah, MA 02664
(SOP 619 ?3
office tatrac .co
February 28. 2023
Town of Yarmouth
Bu d.ng Department}�
K irina Inspector
2kibom ft May Concern
a writing to confirm that the work done at 32 Shaker House Rd, Yarmouth Port MA was
completed according to Massachusetts Electrical code.
This is related to the electrical permit # BLDE-23-15904 in connection with basement finishing.
We extended existing circuits for receptacles and recessed lights.
Regards,
14 4
t%efinetn ~own
Master Electrician
atra Bthid,tn Company
sucerme Number 744 Al
RECEIVED
MAR 0 4 20241_
3U + LDING DEPARTMENT
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