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HomeMy WebLinkAboutBLDE-18-001526 Commonwealth of official use only Massachusetts Permit No. BLDE-18-001528 1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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 ININKOE TYPE ALL INFORMATION) Date:9/18/2017 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) 24 TRADERS LN Owner or Tenant CANNON ROBERT DREW Telephone No. Owner's Address 24 TRADERS LN,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑A h ropriate Box) Purpose of Building Utility Authori $t) o. Existing Service Amps Volts Overhead 0 Unda0_ I ‘1)lNew Service Amps Volts Overhead ❑ Undgrd •' Number of Feeders andAmpacity .'. O�Location and Nature of Proposed Electrical Work: Replacement boiler and add CO detector � O Completion of the following table tt/-hdVyy) y the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 4 Total Transformers KyVA No.of Luminaire Outlets No.of Hot Tubs Generators l���A No.of Luminaires Swimming Pool Above a In- a No.of Emergency Lighting l grnd. grnd. Battery Units 6 _ 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/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 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 Vdesired,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 9 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: A J PULLEY Licensee: A J Pulley Signature LIC.NO.: 21843 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 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 t ,q- 9(221(7 rElg- g °'`c cr1on ) Getasauto e L � r—21-P>06-dr "" i`�c • �', _ = l.mm�+cr.+uca1A of ¢53accEi _ c'sl SCy ,a -E [`� �7 (� ,% �_ apartment of ire&mines •Permit No. 1V��p�\ BOARD OF FIRE PREVENTION REGULATIONS }��jpnc and Fee Checked ��`' � '). Li PLICATIOhI FO.R PERMIT TO PERFORMoea�eb�rk) 43' �( ,J .417 work ELECTRICAL WORK �i pr"iormd in aeeordaace wit the Massachuseta Electrical Code(MEC),5'17 CMR 12p0 �Q�S ?(PLEASE PRINT IN LYE OR TYPE ALLINFORMA270N) Date: oi'/N-)7 J �r City or Town of: YARMOUTH To the Inspector of W es: `�J . By this application the lmdeitigned gives notice of his or her intention to perform the electrical work described below. • `� Location(Street&Number) 7e/ � _ TR�tt�ts a.. QOwner'orTenant RnRFnr r bt,Nnr.. kra11! Telephone No. d. '� Owner's Address �� o N :%;„1 IV Is this permit in con unction with a bull ' o v ✓co a I r� dui,permit. Yes ❑ No (Check Approp rete Bet) uj ,--4 Purpose of Bwlrimg /ale i-rof,AL 'atrra.r.. Witty Authorization No. C)ui � Esistin Se m emps / Volts Overhead ❑ Qndgrd❑ No,of Meters _I New Service __ Amps / Volts Overhead Undgrd ❑ ❑ No. of Meters m d INumber of Feeders and Ampacity • Location and Nature of Proposed Electrical Work-, kJ.QF 1' PL,RFKtp it F3tyiFn. I Cc 17,-7!cro.C. • - .-_ — _ Complettan of the foflowae table maybe waved by the Irnpector ant stet No.of Recessed La ;- m:n• es No. of Ce11.Sesp.(Paddle)Fans • No.of Total ITraasformers KVA No. of Luminaire Outlets Nc.9tHotTabs !Generators • I,'VA No. of Luminaires nNo,of t�.me > ¢aures SR'Jrr+mfng Above la- rge ey Ltghtma - Pool Battery Units Brad. ❑ ernd. ❑ No. of Receptacle Outlet No. of OE Barriers f F'DRE ALARMS INo.of Zones Na.of Switches Na. of Gas Emacs Nn of Letecnoa and — No.of a> -• • Iniiiati� -s Devic Ranges No. of Air Cond. Toa No.of Alerting Devices Heat Pump I Number 'Tons KW (No.of Sett-Containedd i Totals: lDetection/alertino Devi No.of Waste Disposers ces No.of Dishwashers Spate/Area Heating KW' Local❑CMtmiciOnnettito vu ❑ Other No,of Dryers Heating Appliznces KW Security Syystems:' No.of Water INo. of No.of Devir�or Equivalent Heaters KW No,of Data Wur ng Signs Ballast No.of Devices or Equivalent 1 No.Hydromassage Bathtubs INo. of Motors Total HP Tetecotam nnications Wiring No.of Devices or Equivalent OTHER: • J • Estimated Value Of Elect cal WDrI Attach additional detail 5fder&ed or as required by the Inspector of Fires. Workm to Start (When required by municipal policy.) c/—/_zi:2 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 Is the licensee provides proof of liability insurance including"completed operation"coverage or it 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 R—tOND 0 OTHER 0 (Specify:) I cert fy, under the pares and penalties of pajury,that the information on this application is true and complete + FIRM NAME: r Fr2 FLFt-r/ ek lwt. LIC.NO.:Licensee: Siguattre LIG NO.: eAI AIf applicable,enter"rump"in license mtmber line) Address Ze /{ /Mutt M.e.4. yy • Bus.Tel.No.• J "Per M.G.L. c. 147,s.57-61,securityw Alt TeL No OWNER'S INSURANCE WAIVER: awn ork retinas Department of Public Safety"S"License: Lie.No. ��' OWNER'S ER: I am that the Licensee does not have the liability insurance coverage normally S Owaerd by a[ By my signature below,I hereby waive this requirement I am the(check one 0 owner ❑owner's a eeat 01 Signature Telephoe eNo. PERMIT FEE:$ oF•YAst TOWN OF YARMOUTH •hyo'. BUILDING DEPARTMENT 3 y 1146 Route 28,South Yarmouth,MA 02664 .N •• m�,"r 508-398-2231 ext. 1263 Fax 508-398-0836 ::• K. Elliott, Inspector of Wires kelliottnava rmouth.m a.us October 3,2017 Rex Burger Electric C/O A.J. Pulley 289 Quaker Meeting House Road, Sandwich, MA 02537-1366 RE: 24 Traders Lane,West Yarmouth Permit Number: BLDE-18-001526 Dear A.J.; The above noted location inspection failed to pass for the reason(s) listed. Article 110-26 Spaces about electrical equipment. 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