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
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,% �_ 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