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HomeMy WebLinkAboutBLDE-19-001719 ;* • Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001719 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/21/2018 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) 26 POLLOCK RIP RD Owner or Tenant GOLDRICK CHARLES B Telephone No. Owner's Address GOLDRICK LYNN A,26 POLLACK RIP RD,SOUTH YARMOUTH,MA 02664-1996 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 2297371 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator&upgrade service. 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 22 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 I Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Siens 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 penalties of perjury,that the information on this application Is true and complete. FIRM NAME: Michael P Aubrey Licensee: Michael P Aubrey Signature LIC.NO.: 53411 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:48 BARNEY ST,AGAWAM MA 01001 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 Telephon No. I PERMIT FEE:$50.00 44 / w fzS i eommonevaatth o`///aooac 1 Official Use�Only ,... , . •E . ccyy�� c7 �s Permit No. t..l `t '(l / � ,(��],' "'.T = T e ar6nant o Jiro Service! I I" 'Iiw BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �� [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 I do`18 City or Town of: Spv3/41. Yc(nnubL To the Inspector of Wires: By this application the undersigned gives notice of his or her intention topper�form the electrical work described below. Location(Street&Number) r2(9 Iolke Lie. ? q tt ; G1• Owner or Tenant CAW\- s ('sc4A''cick Telephone No. 5Q%-3(7 • SI CO Owner's Address al* oll0 clC 12t p . Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) 4 Purpose of Building Gt.MICA ( Utility Authorization No. a aCfl3 I Existing Service to Amps Po / 4 t]t\Volts Overhead 0 Undgrd® No.of Meters ( New Service Amps / Volts Overhead 1:1 Undgrd 1:1No.of Meters Number of Feeders and Ampacity CI) %th gMeS Local on and Nature of Proposed Electrical Work: (.stnecrA(IC On f i qa+ (ear' o� hrnt$e. aufc,11 0 J W CW f`AA %1\-A, ....CO ? I Completion of the followin• table may be waived by the Inspector of Wires. au No.of Total > 1. Recessed Luminaires No.of Cei4•Susp.(Paddle)Fans Transformers INA W c.? frfa'. Luminaire Outlets No.of Hot Tubs Generators ' KVA �� C.1 rL -o Above In- No.of Emergency Lighting rw Nb. f Luminaires Swimming Pool gird. ❑ grnd. ❑ Battery Units W I, rt }'lb.%`f Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ' -Nora Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained p Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Otba Connection .1 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 c;N\ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: � ; No.of Devices or Equivalent ***4 'T 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: 9I 111 ii Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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: Mat-iv. CAP CJr„< i 1 C LIC.NO.: Ps x07 53 Licensee: R Cimuk 1/4„ Signature_ z- LIC.NO.: 53` n-B ("applicable,enter"exempt"in the lie ;ri number line) - Bus.Tel.No./11/3- 34 is-'t 5So Address: 394 ftlooRVr. ,. i4. • }ktAtiobt. MA NOMt) Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requir€s 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)0 owner 0 owner's agent. Signature Owner/Agent Telephone No. PERMIT FEE: $ sj 0" o •YgR_ - TOWN OF YARMOUTH ' 40 :r. BUILDING DEPARTMENT o y 1146 Route 28, South Yarmouth,MA 02664 `ta •TT; n L. 4'' 508-398-2231 ext. 1263 Fax 508-398-0836 ,ssiK. Elliott,Inspector of Wires kelliott(awarmouth.ma.us September 24,2018 Michael Aubrey 48 Barney Street Agawam,MA 01001 RE: Charles Goldrick,26 Pollock Rip Road, S.Yarmouth Permit Number: BLDE-19-001719 Dear Michael; The above noted location inspection failed to pass for the reason(s) listed. Article 445-18(B) Prime mover shut down required. Please forward the required re-inspection fee of eighty dollars (S80.00) 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