HomeMy WebLinkAboutBLDE-18-006681 .--2 `� ` Commonwealth of Official Use Only
soy �� Massachusetts Permit No. BLDE-18-006681
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
PRev.l/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
(PLEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/24/2018
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) 63 MAYFLOWER TERR
Owner or Tenant CRIMALDI JENNIFER TR Telephone No.
Owner's Address JENNIFER CRIMALDI TRUST,63 MAYFLOWER TERR,SOUTH YARMOUTH,MA 02664
Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 I
Number of Feeders and Ampacity p,
Location and Nature of Proposed Electrical Work: Install generator \
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 1 KVA 9 \
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 ENumber_ _Tons KW_No.of Self-Contained
Totals: r 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 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:)
I certify,under the pains and penaldes of perjury,that the information on this application is true and complete.
FIRM NAME: RANDALL C AGNEW
Licensee: Randall C Agnew Signature LIC.NO.: 17492 .
(Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:381 OLD FALMOUTH RD,MARSTONS MILLS MA 026481555 Mt.Tel.No.:
Ter M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:
OWNER'S LNSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally re.If -• . law.But
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent
Signatu Telephone No. PE' IT FEE:$50.00KTA _
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111 Occupancy and Fee Checked
\ 4'/ BOARD OF FIRE PREVENTION REGULATIONS Rev. (leave 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 ALL INFORMATION) Date:5/21/18
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)63 Mayflower Terrace .
Owner or Tenant Jennifer Crimaldi • Telephone No. 508-685-4867 "
Owner's Address 63 Mayflower Terrace
Is this permit in conjunction with a building permit? Yes ❑ No ❑X (Check Appropriate Box)
Purpose of Building Utility Authorization No. 4
Existing Service 100 Amps 120 /240 Volts Overhead® Undgrd❑ No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd El No.of Meters _
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: GENERATOR INSTALLATION
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trf
Traa onKVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 9
No.of Luminaires SwimmingAbove In- No.of Emergency Lighting
Pool grnd. ❑ grnd. 0 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 c
- 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 Ileating KW Local❑ Municipal 0 Other
Connection
No.of Dryers Heating Appliances KW Security Systems:"
No.of Devices or Equivalent
No.of WaterKW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wirin :
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $3000.00 (When required by municipal policy.)
Work to Start:7/27/18 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 ti
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 informal n this application is true and complete.
FIRM NAME: RCA Electrical Contractors Inc. LIC.NO.:I7492A
/I
Licensee: Randall C. Agnew Signature „ 6-r�
(If applicable,enter "exempt”in the license number line.) us.Tel.No.:60Bt-428-0449
Address: 381 Old Falmouth Road, Unit 13, Marstons Mills, MA 02648 Alt.Tel.No.:508-648-6766
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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 PERMIT FEE: $
Signaturetura Telephone No.
of•YqR TOWN OF YARMOUTH
o“ ',rea?. So' BUILDING DEPARTMENT
, —y 1146 Route 28,South Yarmouth,MA 02664
•N Ik.n„ ,. Z2'
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� 508-398-2231 ext. 1263 Fax 508-398-0836
`' K. Elliott,Inspector of Wires
kelliott awarmouth.ma.us
October 16,2018
Randall Agnew
RCA Electric
318 Old Falmouth Road
Marstons Mills, MA 02648-1555
Location: 63 Mayflower Terrace,Yarmouth
Permit Number: BLDE-18-006681
Dear Randy;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-26 Spaces about electrical
equipment. (Pipes over. panel)
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