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Home My WebLink AboutBLDE-18-000392 Commonwealth of Official Use Only I� Massachusetts Permit No. BLDE-18-000392 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:7/21/2017 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) 36 MASSACHUSETTS AVE Owner or Tenant SHEW GAIL E Telephone No. Owner's Address 107 HILLSIDE RD,FRANKLIN, MA 02038-1706 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: Replacement HVAC and distribution panel. 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 Emer nc/^Cel� rnd. grnd. Battery lin' fff...��1 n No.of Receptacle Outlets No.of Oil Burners FIRE A .) 'pxO. glfe�`'�J/,�/V,�, No.of Switches No.of Gas Burners 1 Noto[DgtDev d (-/jv�'` `! No.o (Initiating Device. No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices l/ 0? Tons No.of Waste Disposers Ileat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices e "_ No.of Dishwashers Space/Area Ileating KW Local 0 Municipal ❑ R.L_ . Connection LL\\yJllJJ11 No.of Dryers Heating Appliances KW Security Systems:* �/ No.of Devices or Equivalent 9 No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent fr No.Hydromassage Bathtubs No.of Motors Total HP • Telecommunications Wiring: No.of Devices or Equivalent IOTIIER: 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Daniel J Peckham Licensee: Daniel J Peckham Signature LIC.NO.: 26830 (ifapplicable,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 Telephone No, PERMIT FEE: $50.00 qp._ g(( 27 Q(c347 J o e€ efl% 1 Seorr 3?*- 33/-s759 4l �( L ,ct,l C.o..+vt it SOP/a'r l 11— Trey ? r¢ C • • l .3'1 ♦f � O/ ^f- \,13 Nies r; V . m rTh D I ag z r V itt A , r //�� yy .� 4* Lamrrarav cF�'/.•ss,,.�.,.o-fis Dtneinl Use Only _ 11 2 crbr�E, s�cy 'Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occop ®ryand Fee Checked Rev. 1107] i 0cave bhmk) --- APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK .All work to be performed in aecvrd=tine with The Massachusetts Eecn'ical Code (MEC),027 Oa 12.1/0 (PLEASE flair INLY ORTYPE ALL DJFORM4TIO]) D ate: �JRl City or Town on yARmourH To the I actor of Wires: • By this application the pndersigned gives notice of his or her intension to perfo m the electrical work described below. Location (Barnet L':Number) 3(o Wt4_s.5 Jf OwnerorTenant T>e«L 5L.ecc, Telephone No. Owner's Address —____—_--. Is this permit in conjunction with a building permit? Yes ❑ No • Purpose of Building 0 (Check App roprisi Boz) Utility Authorization No. Existing Service e_mps / Vols Orel-find ❑ Dndgrd❑ No.of Meters _ New Service Amps / Volts Overhead❑ Undgrd 0 Nd.of Meters Number of Feeders and Ampsrity Location and Natert of Proposedettrical Work- — No. of Recessed i..,s.;.,_`"' Comp/mon of the foiow?nr table ntcy be waved by the inspector of-Wirer. INo.of Ca—Siasp.(Pailrib.)Fans • INo,of Toil Na. of Lam• Traasx°rmers KVA O°Tlet INo.'0fHot Tubs G•enntnrs • KVA' No.ofLtrm:,.,.• ISwirrmingPool n� Ino.oximer encyLantr. - � arndOPe.. mnd. ❑ P.-et-.ryBah= • No.of Rt-ptade OtrtSe!s . No.of Oil Be,urs ME ALARMS 'No.of Zones No. of Switches No.of Gas Eornel-s '^ Iaifra Devices No.of Ranges INa.of kir Cond. Tors Total IND,of AIxi�g Devices No.of WarDispose-.urs I eQ*Pamp Nnmbr Tons I KW `N 4 of SelfCont,TMd Totals: I DeLxion/AiertiaeDeVloes No.of Dishwashers IMSpactIAsea Heating KW' Local❑ Coeaandusterrion 0 cellar No.of Dryers !Heating Appliances KW �Secnrity Systems:• No,of Water No, of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Bain No.of Devices or Equivalent No.Hydromassage Bathtnhs No.of Motors Total HP Telecommunications Wiring: OTHER No.of Dsites or Equivalent • Estimated Valve of Electrical PJor Attach additional detail if desired or to regtved by the Inspector of Wires. Work to Start (When required by municipal policy.) Inspect-mu to be request :I in accordance with MEC Pit 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 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 1NSURANCEZ BOND 0 MIER 0 (Specify.) certif3', ander the paints and p -s ofpalru9,that the information on this application is true and=vide. FIRM NAME: LIC.NO.: Licenseet'��nJ Terve Signature 2 afoPplimblle..�e-�nter/"ee�rr"in the �' TIC.No 3b Address: /J / /`t�•LJ( , i..°number firm) Bas.TeL __ �`+�. 5 1 "r Alt.Tel.NosoS-�7G�Sf j 'Per M.G.L.c, 147, s.57.61,security work requires Department of Public Safety"5"License: Lie.No. � -- Q OWNER'S INSURANOE WAVER_ I am aware that the Licensee does nor have the liabrli requiredbylaw. Byty insurancewns my sigaamre below,I hereby waive this rcment I ata the check one) coverage normally t Ovraer/Agent few ( 0 owner ❑ waer't amt Signature. Telephone No. I PERMIT FEE: S i...Mk _ TOWN OF YARMOUTH ; k 'sIt% BUILDING DEPARTMENT {o y1146 Route 28, South Yarmouth, MA 02664 .IR3L �'• -!Ce-,�IL,e K. 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a,varm outh.ma.0 s September 13,2017 Daniel Peckham 87 Audreys Lane Marstons Mills, MA 02648-1629 RE: 36 Massachusetts Avenue(Shew) Permit Number: BLDE-18-000392 Dear Dan; The above noted location inspection failed to pass for the reason(s) listed. Article 110-26(A) Working space Article 210-8(A)(5) GFCI unfinished areas / basement Article 314-28(C) Box cover required Article 358-3O(A) Securing & supporting of EMT. 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