HomeMy WebLinkAboutE-19-2231 y►�
Commonwealth of Official Use Only
PE i►\ Massachusetts Permit No. BLDE-19-002231
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:10/15/2018
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) 28 PINEWOOD RD
Owner or Tenant SCHNAUFFER MEGAN J Telephone No.
Owner's Address 28 PINEWOOD RD,WEST YARMOUTH, MA 02673
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 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace service,replace outlets&switches,recessed lights,kitchen/
bathroom work.
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 KVA
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
Initiatine 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/Alertine 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 Stens 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 ❑ OTHER 0 (Specify:)
!certify,under the pains and penalties of perlury,that the information on this application Is true and complete.
FIRM NAME: DANIEL J PECKHAM
Licensee: Daniel J Peckham Signature LIC.NO.: 26830
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:87 AUDREYS LN,MARSTONS MLS MA 026481629 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 TelephoneN N . PERMIT FEE:$50.00
0Nsfre K ���( ��� &EDP, It (ze(e'a 0(1629
— Qty-0 co,p c.EM ori Ft, r Aret'a
6L9 Uf lel<$
RECEIVED (,)ht!- cO-w ..
t1 'j'j'J h Official Use Only
lilitOCT 15 20 a of addac ruettd ���
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eq. .
',�� JJedgr at o�- ire�srw•ced Permit No.
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LDING DEPARTMhtJ r Occupancy and Fee Checked
—:3 •RCTOR.IREP EVENTION 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( C),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/ 1Jr
11 City or Town of: Ye.. twin.7-�i To tire Ins ector of wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
EE Location(Street&Number)a r 'Pi r..e•iaoccnQ gage
VE Owner or Tenant M+ yr . fi.. ( '1ti. Telephone No.
51 Owner's Address ( •
V Is this permit in conjunction with a building permit? Yes ID No E:1 (Check Appropriate Box) ,
Purpose of Building Utility Authorization No.
Existing Service_ Amps / Volts Overhead E] Undgrd❑ No.of Meters
New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters _
Number of Feeders and Ampacity
t3 Location and Na re offn Proposed Electrical Work: t ., .c. ..e. i e 't"(4a .. 'let
.. ft�e�•tLS�t2.rX&IA 4-cd) Q.Gees'j,e f Li 41,1"s }'moi t e ^fes j3.TL_ter toebeic
ompie .n of the following/able nig be waived by the Inspector of Wires.
Ur No.of Recessed Luminaires No.of Ceiil:SnsP.(Paddle)Fans TotalA
Trl'rannss formers KVA
p No.of Luminaire Outlets No.of Hot Tubs Generators
KVA
Above In- No.of Emergency Lighting
-l., No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units
`I No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones
^-
No.of Switches No.of Gas Burners No.of Detection and
L Initiating Devices
Tot
I Ll No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices
No.of Waste Dis osers Heat Pump Number,Tons W No.of Self-Contained
P Totals: 7- Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipannectionl ❑ Other
•
C
No.of Dryers Heating Appliances KW Sec ems:*
No.urif yoDevices 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 lel eicons qNo 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 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: INSURANCIBOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penal es of perjury,that the information on this application is true and complete.
FIRM NAME: Lehi,- LIC.NO.:
Licensee: ThG�yt l.e,( 5 . l,e4.., Signature Q .(LpeZ& LIC.NO.:a!v 2soE
(If applicable,enter,:exe t'in the licen a number line.) Bus.TeL No.•
Address:g'7 W-c i(iiUc7S . uAeas/Ses g+.!!15 026 c'7 Alt.Tel.No.:S.Q.Z77&3?o•5-
•Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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/AgentPERMIT FEE:$
SignatureTelephone No.
:'oi riot TOWN OF YARMOUTH
; BUILDING DEPARTMENT
p -Itzay 1146 Route 28,South Yarmouth,MA 02664
N wwtrat
„� ;4 508-398-2231 ext. 1263 Fax 508-398-0836
•
K. Elliott, Inspector of Wires
kelliott(a,yarmouth.ma.us
October 16,2018
Daniel Peckham
87 Audreys Lane
Marstons Mills, MA 02648-1629
Location: 28 Pinewood Road,West Yarmouth
Permit Number: BLDE-19-002231
Dear Dan;
The above noted location inspection failed to pass for the reason(s) listed.
Article 250-53(A)(2) Supplemental
electrode required.
Article 110-12 Mechanical execution of
work.
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