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Home My WebLink AboutBLDE-21-003550 Commonwealth of Official Use Only q7- Massachusetts Permit No. BLDE-21-003550 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:12/26/2020 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 d scribed below. Location(Street&Number) 11 OLD SALT LN sit. CD> 2-1-1'Sc Owner or Tenant GUISE C NICHOLAS TRS Telephone No. Owner's Address GUISE CATHY C TRS,93 JENKINS RD,ANDOVER,MA 01810 O Is this permit in conjunction with a building permit? Yes 0 No 0 ( •pBox) Purpose of Building Utility Authorization 6 , iAL Existing Service Amps Volts Overhead 0 Undgrd 0 " ��' New Service Amps Volts Overhead 0 Undgrd 0 S Number of Feeders and Ain aci P ty Location and Nature of Proposed Electrical Work: Re wire kitchen. &°Q Q Completion of the following table , , e ''-•(,)• - nspector of Wires. No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans No.of O Total Transformers /� KVA No.of Luminaire Outlets 12 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- I: 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 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers 1 Heat Pump Number , Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 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 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: (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:) 4 Pr S14145-- 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 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 0 6 h( 1 [ << (?A t — • Commonwealth o/'a33achuiett3 Official Use Only Permit No. - - 35 D _; s ®,i 2e artment o f Jire Service3 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I Z,I Z0 2,0 City or Town of: YAR1V10Tret PORT 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) II OLD SALT tfiN 4—. Owner or Tenant NZ�OLf\ GO , Telephone No. Owner's Address q s iE-JoKstos RD AN OOJ€'. Is this permit in conjunction with a building permit? Yes Lbl No ❑ (Check Appropriate Box) Purpose of Building DINQ I(IC6 Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead Undgrd C No.of Meters Number of Feeders and Ampacity A) Location and Nature of Proposed Electrical Work: R W r Ks-rot n Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of TVA 8 P Transformers KVA No.of Luminaire Outlets ( Z, No.of Hot Tubs Generators KVA No.of Luminaires (, Swimming Pool arnd.e ❑ grad.In- ❑ gat o A1.1gergency Lighting No.of Receptacle Outlets t6 No.of Oil Burners F EA RMS ; .of Zones No.of Switches e No.of Gas Burners \o.InDetectg D"v�f �, �~ No.of Ranges / No.of Air Cond. Tonsl / N f Ale ie�evices Heat Pump Number Tons KW 'ooL -Cont. ,' No.of Waste Disposers I Totals: �,, tithing i vi s No.of Dishwashers ‘ Space/Area Heating KW Local � �4 ntecti 1 her urity No.of Dryers Heating Appliances KW Sec No.of>5ev ces' Equivalent No.of Water 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 lec rical Work: �4 (When required by municipal policy.) Work to Start: 1Z/O/20 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 Nt BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:KA A kt. 6/eCTRTC Du() LIC.NO.: 60Pq i Licensee: Delt)( I 4 S knit jCa, It. Signature a. a//� ��, LIC.NO.: C/ 4 (If applicable,enter "exempt- xempt"in .h�e�l-i-cee n license line.) , Bus.Tel.No.: l Address: > -9 / N� ev PUZ700-,4 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)❑owner ❑owner's agent. Owner/AgentPERMIT FEE: $ SignaturetuneTelephone No.