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Home My WebLink AboutBLDE-23-001745 -- `Y Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001745 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) 12 JOYCE ST Owner or Tenant FRANK MacSWAIN Telephone No. Owner's Address 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: Wiring for 3 seasons room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 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 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 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 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: 1 Heaters ,Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1 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: 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 nn �Nr4` /2//d/22- 75: 6 J - RECEIVED `''k SEP 2 s 101 N 'Pk' •a&el rrlaeeaehae•ile official Um Il g UING DE PART ME n Permit Nci.. ' �. I I Occupancy and Fee Checked REVENTION REGULATIONS [Rev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/Z /Z_r? City or Town of: YARMOUTH To the 1npector of Wires: By this application the undersigned gives notice�/ofc/his�or her intention to perform the electrical work described below. Location(Street&Number) 12 73>' `-- <T Owner or Tenant - ��c�� ' Telephone No. Owner's Address Is this permit In conjunction with a building permit? Yes pC No 0 (Cheek Appropriate Box) Purpose of Building 1)f,Ji t i I i i'. (— Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: /\ ice'- 3 ' 1 e: 5OrJ R"n Nvil ' Completion of the following fable may be waived by the Gspector of Wipes. U� No.of Recessed Luminaires No.of Cell.Soap.(Paddle)Fans Transf formers Tip Ct "i No.of Luminaire Outlets No.of Hot Tubs Generators KVA d'' No.of Luminaires .J• Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets /6 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches �- No.of Gas Burners No.of Detection and — J Initiating Devices it.. No.of Ranges No.of Air Cond. onsl No.of Alerting Devices — No.of Waste Disposers Heat Pump Number Top KW No.of Self-Contained Totals: - "- '"� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Act enicipalction ❑Other, No.of Dryers Heating Appliances KW Security No. f Systems:* Devices or Equivalent No.of Water , No.of No.ofK Data Wiring: r Heaters Si ns Ballasts g 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 lecVicIal Work: g rfC) (When required by municipal policy.) Work to Start: CI :,/--)G7.Z__Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: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❑ OTHER 0(Specify:) I certify,ander the pains and penaltiesgpedury,that the Information on this application�is true and complet l FIRM NAME: 146 I Po le ear,r TI� p y� LIC.NO.: �pI- I Licensee: pax,'ill L�.p p i Signature LIC.NO.: �i rt Address: dress:applicable. "exerppt"in the llcet4te itne„) p� __ n)] _„M win.as.Tel No: f� yam@ Address: /LkJ-,Q. n IbL (Nl ff[f!n 4:'.1.j nse:Alt.Tee.No,.��l.�r'1�(/ °Per M.G.L.c. 47,s.57-61,security wo requires Department of Public Safety 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:$