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Home My WebLink AboutBLDE-18-000812 ^ �/1 Commonwealth of Official Use Only t `` Massachusetts Permit No. BLDE-18-000812 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 IN INK OR TYPE ALL INFORMATION) Date:8/10/2017 City or Town of: YARMOUTH Tothe Inspector ofWires: By this application the undersigned gives notice of his or her intention to pertorm the cicchhical work described Belo Location(Street&Number) 74 CHIPPING GREEN CIR W((J.I 4411S Owner or Tenant GAUAINrlot Telephone No. Owner's Address .• _.+ . • r ,ra::c ' . : • :-_: -a, -.- . s .,., • .1746) -4, Is this permit in conjunction with a building permit? Yes 0 No 0 (Checli..kr r' e i • ✓Ol Purpose of Building Utility Authorization No. r/ G .• Existing Service Amps Volts Overhead 0 Undgrd 0 NN ' " Newrvic See Amps Volts Overhead 0 Undgrd 0 No.of Mete,,..w L' Number of Feeders and Ampacity iy69 < 'Location and Nature of Proposed Electrical Work: Replace distribution panel and wire for air conditioning. I �tiA Completion of the following table may be waived by the I . of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Ilot Tubs Generators KVA No.of Luminaires Swimming Pool Above ID In- CINo.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 Initiating Devices No.of Ranges No.of Air Cond. 1 .TFootal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area heating KW Local ❑ 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 Signs Ballasts No,of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTIIER: 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 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: 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 baw.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 irscZleicr /� r/ 1 ,.•., C //te�a ommor-vcS of rr/aisa Oiarinl Use nly � �/ Z—O8 ( 7� -z = � Lcpefoerto{�ra :, PermitNo,_ g _ ' crorace BOARD OF FIRE PREVENTION REGULATIONS OccnpancyandFeeChecked — o C - 1ro77 ' eave blank) 1 APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK e- All work to be performed in accordance with the Massachusetts Electrical Code I C),527 ' 12D0 m ; (PLEASE PRINT 2I DIK OR TYPE ALL INFOR1L4TIO Date: City or Town of. YARMOUTH To the I •Rector of Wires: i —m m . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7 e! e,11 s e p i,.may *'1&c eAg_ C L. Owner or Tenant haa.s 1 id...r i .G,R.7-5 Telephone No. Owner's Address --�� Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Buldmg ❑ (CheckApproptiatx Boz) I)trlity Authorization lDII NNo, Ezistiag Service Amps / Volt Overhead ❑ Undgrd❑ No.of Meters _ New Set-vice Amps / Volts Overhead ❑ Undgrd 0 Nd.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work1 / Fie-(-779.--.. 1urgtr rte... "I Lti�,s Rf�o/a c Completion of the follow at table may be waived by the Inspector of Firm No.of Recessed Lutoinzirm INo. of cell.-Snsp.(Paddle)Fans • INTotal Ttao'asof formers I.CVA No. of Luminaire Outlets 'NanfHot Tubs Generators . KVA ' • No.ofLttmfaaires ISR•fmmingPool Abave Its- No.orLmergency1.,,n>mg erad- ernd. ❑ Bptt -Runts No.of Receptacle Outlet No.of Ort Burners IF=£LARMS 'No.of Zones No.of Switches No.of GasBur-ears No.of Detection and Initiatmz Devices No.of Ranges Nn of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Rest Pump I Number 'TonsI ICW -No.of Setf-Contained - Totals: DetectiontAlertine Devices No.of Dishwashers Space/Area Heating KW Lolal l tmicipal No.of Dryers a Connection 0 Other r9 Heating Appliances KW. Security Systems:R No.of Water Na of DDevices or Eonivalent HeatersFCWNo. ofNo.ofData WtringSinsBallastsNa of Dev ccs orNo.Hydromazsa a Bathtubs Equivalent it g No.of Motors Total HP Teleco.of Dnicatioas Wiring: - OTHERNa of Deuces or EquivalentEstimated Value of Eleetrjeal WorL- Attach addmonadetail ifderired oras required by the Inspector of Wires. Es mrk t Start (When required icy municipal policy.) to be e:sued in INSURANCE COVERAGE: Unless wwaived by thceowner,,npermit for thpet fce with oorrmance of electriaC Rule 10,and o�n okmpayt issue the licensee prov des proof of liability insurance nciudm "co leted rmless g mP operation"coverage or its substantial equivalent lbe undersigned certifies that such coverage is in force,and has ezhrbited proof of same to the permit issuing ofce. CHECK ONE: NSURANCEND ❑ OTHER ❑ (Specify:) I certify,ruder the pains acrd p ofperfrAy,that the information on this application fs true and complete. FIRM NAME: LIG NO.:Licensee:,N! 7 Signature1 J 1W, �_ (If applicable.enter "cc •I"in the lienee number line) / , lr7lL/ Tel. NO.: ,� Address i� ! Bns.TeLNo: - t, 4., - s - Alt Tel.No. .,,. J "Per M.G.L.c. 147,s.57-• 1,security work requires Department of Public Safety"S"License: Lic.No. - a OWNER'S INSURANCE WAVER: I am aware that the Licensee does not have the liability insurance coverage normally Owuar�Ay law. By my signature below,I hereby waive this requitement I am the(cheek one)0 own 0 owner's agent Signature Telephone No. I PERMIT FEE: $ fsb Alt-\ TOWN OF YARMOUTH ,fi f9,' o BUILDING DEPARTMENT to y( 1146 Route 28, South Yarmouth, MA 02664 3 508-398-2231 eat. 1263 Fax 508-398-0836 K. Elliott,Inspector of Wires kelliott(ahvarmouth.ma.us July 27,2018 Daniel Peckham 87 Audreys Lane Marstons Mills,MA 02648-1629 RE: William Lewis, 74 Chipping Green Circle Permit Number: BLDE-18-000812 Dear Dan; The above noted location inspection failed to pass for the reason(s) listed. Article: 250-53 Ground rods required. 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_theseinspection. If you have any questions please do not hesitate to contact me. Sincerely, Town of Yarmouth,Building Department K. Elliott, Inspector of Wires