HomeMy WebLinkAboutBLDE-18-007232 f Commonwealth of Official Use Only
arL : I►��' Massachusetts Permit No. BLDE-18-007232
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:6/21/2018
City or Town of: YARMOUTH To the Inspector ofWrres:
By this application the undersigned gives notice of his or her intention to perform the eicctricat work described below.
Location(Street&Number) 69 ELLIS CIR E,a C ! 6/Lel
Owner or Tenant LIZOTTE ANN E TR Telephone No.
Owner's Address LIZOTTE RONALD L TR,P O BOX 187,YARMOUTH PORT, MA 02675
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 ❑ No.of Meters
New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Pool wiring
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CelL-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. grn . 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 0 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 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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application Is true and complete.
FIRM NAME: DAVID BALFOUR
Licensee: DAVID BALFOUR Signature LIC.NO.: 22363
(Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:14 STARBOARD DR,MASHPEE MA 02649 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) ❑ owner ❑ owner's agent.
Owner/Agent
Signature lJ Telephone No. PERMIT FEE:$85.00
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c� c7 p Permit No. ea O— 72;32.—
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114 Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ltev. 1/07] (leas blank)
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 ALLINFORMATIOIQ Date: 06/19/2018
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) 69 Ellis Circle
Owner or Tenant Erik Tolley Telephone No. 508-362-8883
Owner's Address same
L thin permit in conjunction with a bhilding permit/ Yes 0 No Et (Cheek Appropriate Box)
Purpose of Building Utility Authorization Na
Existing Service_ Amps / Volts Overheld 0 Undgrd 0 Na of Meters
New Service _ Amps I Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampaclty
Location and Nature of Proposed Eleetrial Work: Pool Bonding
S.
1 Completion of thejWlowimi table mayInspect. of Wins.
W No.of Recessed Luminaires No.of CeiL Su (Paddle)Fans Na sbe waived by the/nTotal
Ce ; Transformers KVA
O No.of Luminaire Outlets Na of Hot Tubs Generators E'A
to !
! No.of Luminaires Swimmin Pool Above 0 In" Na or Emergency Lighting
g aurid Bred. Battery Units
v No.of Receptacle Outlets Na of Oil Burners FIRE ALARMS No.of Zones
t
No.of Switches No.of Gas Burners z-• Na of Detection and
Initiatingoe and
!U No.of Ranges Na of Air Cond. Tons No.of Alerting Devices
Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detectloe/Alertlna Device
Na of Dishwashers SpacelArea Heating KW Local 0 gars 0 Other
Na of Dryers Heating Appliances KWSecurity
No.of Device or Equivalent
Na of Water Na of Na of Data Wiring:
KW
,p Heaters Signs Ballasts Na of Devices or sot
0 rt----- N 1 Hydromassage Bathtubs No.of Motors Total HP
'Telecommunicationsofor qui agl•
t• y Se Na of Devices Equivalent
LLl • i-- R: •
Attach additions!detail tfdesind or as required by the Inspector of Wires.
"" 0 O `ist Value f Electrical Work th0Q`✓ (When required by municipal policy.)
W m to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion.
o 4Vlj Z DI CE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
u `--r ate censee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The
tind4rsigned certifies that such covierge is in force,and has exhibited proof of same to the permit issuing office.
• ONE: INSURANCE (2 BOND ❑ OTHER 0 (Specify:)
fy,ander the pains and penalties ofperjary,that the information on this application is true and complete.
FIRM NAME: Coastal Mechanical a LIC.NO.: (9, �p.3�'
Licensee:n4U I I Ur' Signs 'ell Nix`• LIC.NO•iii 4
(tfapplknblleee aer�r ee ,fn r¢e�l' u dine.) Bas.TeL No• r• Z •
Address: (fit /il.) ce [2x% Alt TeL Nat' `L-..ii —ND
'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 1 am the(check one)0 owner 0 owner's agent.
Owner/Agent (PERMIT FEE:5
Signature Telephone No.
Y9k TOWN OF YARMOUTH
1°' 21c. BUILDING DEPARTMENT
•
o 1146 Route 28, South Yarmouth,MA 02664
^� * 508-398-2231 ext. 1263 Fax 508-398-0836
,::::• K. Elliott,Inspector of Wires
kelliott(a�va rmouth.ma.us
August 7,2018
David Balfour
Coastal Mechanical
299 White's Path
South Yarmouth, MA 02664
RE: 69 Ellis Circle,Yarmouth Port
Permit Number: BLDE-18-007232
Dear David;
The above noted location inspection failed to pass for the reason(s) listed.
MEC 527-CMR-12.00 Rule # 10 "Shall not be covered"
Article 680-14 Corrosive enviroments
Article 680-21 Wiring methods
Article 680-22 Required receptacle.
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth,Building Department
K. Elliott,
Inspector of Wires
CC: Steve Tulloch
CedeMECHANICAL
PLUMBING • ELECTRICAL • HVAC
August 10, 2018
To Whom it May Concern,
Coastal Mechanical bonded patio for pool in accordance with Mass state
electrical code.
Sincerely,
Steve Tu ock
S'laze.
299 Whites Path • South Yarmouth, MA 02664 508-737-8747