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Home My WebLink AboutBLDE-18-003055 Commonwealth of official Use Only 0 Massachusetts Permit No. BLDE-18-003055 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:11/21/2017 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) 41 MAINE AVE Owner or Tenant GOODMAN JUNE M Telephone No. _ Owner's Address GOODMAN LESTER, 151 WOODWARD ST, NEWTON HIGHLANDS,MA 02161-1342� Is this permit in conjunction with a building permit? Yes ❑ No 0 (ChecK.9.dRropriate Box) Purpose of Building Utility Authorization Existing Service Amps Volts Overhead ❑ Undgrd arEll+s New Service Amps Volts Overhead ❑ Undgrd 1b o. 146 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump and alarm. O O O Completion of the following table may.9 rt kit nspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers a y / KVA No.of Luminaire Outlets No.of Hot Tubs Generators cjbQ KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS l No.of Zones No.of Switches No.of Gas Burners No.of Detection and Indiatine 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 1 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 Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Siring Ballasts No,of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors 1 Total IIP Telecommunications Wiring: . No.of Devices or Eauivalent OTHER: Attach additional detail if destrett 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 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 S WALSH Licensee: Michael S Walsh Signature LIC.NO.: 29315 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 OXFORDSHIRE PL, MASHPEE MA 026493447 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: $50.00 seri-Tr .e fp kr/ ) ON WA-c-, e t. lk3 —Met �.l f'fes.(6-o Wn i • • �\ //J� 'ti/ / t..ommonareald o/e7Masssehu3al±! .,.• $�eUse • _Ire, 3cprr&ncnt o f.vire Serviced Permit No.�Y (6,J{ S hecked • BOARD OF FIRE PREVENTION REGULATIONS y. I/0ncy•egdFee au. • -Re —�— � (leave blank) APPLICATION FOR�PERM1T TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEq,527 CMR 1214 (PLEASE PRINT 1NpIKORTYPE ALL INFORMATION) Date: 11(21117 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) 4.1 mA y,,Q.„ AvE OwnerorTenant Ci0ne— Gooey IA464 Telephone No.6._____ ____ Owner's Address Sqµ« �_ Is this permit in conjunction with a building permit? Yes ❑ No Z (Check Appropriate Box) ;O • Purpose of Blindingwi tic S Utility Authorization No. v), Existing Service 106 Amps i ZO I Z40 Volts Overhead ✓ Undgrd❑ No.of Meters 1 MI New Service `� .Amps / Volts Overhead E Undgrd ❑ No.of Meters W Number of Feeders and Ampacity -- • N Location and Nature of Proposed Electrical Work: ieu. 1 Q^ W . L' _ U O �� .. ._ .__ _.._. Campfetian of the followmz sable maybe waived by the Iraector of Wirer.. Lu Z 1 1 No.of Recessed Luminaires INo.of Cert-Susp.(Paddle)Fans No•of Total l m v Na, of Luminaire Outlets Transformers ICVA _ Ce INo.rof Hot Tubs Generators • ICVA • No. of Luminaires ISwimm;"g Pool Above 0 In- 0 No.of t.mergeary L,tgntmg - ernd. arntL IBattervUaits No. of Receptacle Outlets . No.of Oil Burners IFIRE ALARMS !No.of Zones No. of Switches - No.of Gas Burgers No.of Detection and • Initiating Devices No.of Ranges jNo.of Air Cond. Tout Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump 1 Number 'TonsKW No.of Self-Contained Totals:I Detection/Merdna Devices No.of Dishwashers Space/Area Heating KW' Muaici Local 0 Connectialon 0 Other — No.of Dryers Heating Appliances KW Security Systems:° No.of Water I No.of Devices or Equivalent - Heaters KW No. of No.of Data Wirm Sins Bates No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent e O1IiLR _ • •'2 Attach additional detail if desired ores required the I Estimated Value of Electrical Work by inspector of Wires. �'�" (When required by municipal policy.) A Work to Start 11121,10 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 N the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The -I undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office. .3 CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) Jr cettfy, ander theI pains1and pert:Ide- of perjury,that the information on this application is true and complete j FIRM NAME: kkItt\ S lJyl-Ael LIC.NO.: E24i is J Licensee: 3 A of applicable.Titer Cte"teen;'I hi,the licencep��;+mber line Signature �� C J)�i LIl.No.. 1;2951] Address: "1 t7 t 4 rmbe,4 12 `A-�-ne�n Bus.Tel.No: q-Oen t� J *Per M G.L.e, 147,s.57-61,securitywork requires Mt Tel No: g lei • OWNER'S INSURANCE WAVER I am ware that t�Department does not have the liSafety"5" ability insurance coverage normally QB S wne required by law. Y mysignature below,I hereby waive this requirement I am the(check one) owner 0 owner's agent t Owner/Agent Signature Telephone No. ...... I PERMIT FEE: $ t'Y`ik TOWN OF YARMOUTH BUILDING DEPARTMENT H $ 1146 Route 28, South Yarmouth,MA 02664 'e trTA ^ 9'� 508-398-2231 ext. 1263 Fax 508-398-0836 :.- K. Elliott,Inspector of Wires kelliott(a yarmouth.ma.us November 22,2017 Michael Walsh 4 Oxfordshire Place Mashpee,MA 02649-3447 RE: 41 Maine Avenue,West Yarmouth Permit Number: BLDE-18-003055 Dear Michael; The above noted location inspection failed to pass for the reason(s) listed. Article 100-Listed equipment to be used. M.E.C.-Rule # 3 Alterations of modifications. 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