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Home My WebLink AboutBLDE-18-003345 a .it. Commonwealth of Official Use Only 41/4611 ,'* Massachusetts Permit No. BLDE-18-003345 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 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/6/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlonn the electrical work described below. Location(Street&Number) 9 HIDDEN ACRES AVE • Owner or Tenant MITSIS ANDREW 'telephone No Owner's Address MITSIS DEBORAH, 9 HIDDEN ACRES AVE,WEST YARMOUTH,MA 02673 �� Is this permit in conjunction with a building permit? Yes ❑ No ❑ , mo p Box) Purpose of Building Utility Authorization�� ' Existing Service Amps Volts Overhead ❑ Undgrd ❑ New Service Amps Volts Overhead ❑ Undgrd 0 )tip b NumberoNatuFeedersend of AProposed U�'r—'/� Location and Nature of Proposed Electrical Work: Replacement furnace p4 rip Completion aline following table may be wt se, Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �f Total Transformers i KVA No.of Luminaire Outlets No.of hot Tubs Generators T( KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Ileat Pump Number , Tons _ KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Ileating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water MV No.of No.of Data Wiring: Ileaters Signs Ballasts No.of Devices or Equivalent No.Ilydromassage Bathtubs No.of Motors Total 111' 'Telecommunications Wiring: No.of Devices or Equivalent OTHER: 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. CIIECK ONE:INSURANCE 0 BOND ❑ OTI IER 0 (Specify:) -�1.ri'/_ 3 c3-- 3— ST I certify,under the pains and penalties of perjury,that the information on this application is true and complete. f ` . b FIRM NAME: Darnell Cauley Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD,S YARMOUTH MA 026642805 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 1 zf-7 1 f7 KEY-7a CCct.o tt- cupperz.r) Cmrr-crwcani 0//r/a33e.gadeed _ Ulnaisl the O — Sis) a- � 2epartmcni of J`uv Jerriee3 Permit No. BOARD OF FIRE PREVENTION REGULATIONS ev. 1/0ncyzndFeeCheeked • Rev. 1/D7] (leave blank) , bi APPLICATION FORJPERM1T TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5-27 CMR 12.60 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D ate: YARMOUTHCify or Town of: To the Inspector of Wires: . By this application the]mdersignedeves notice of his or her intention to perform the electrical work descnbed below. Location(Street&Number) _I wtdd erg Acres_ ,stt A J e- • OwnerorTenant 144reu) ,Mt4is Telephone Na. 50i-7 Owner's Address °�� Is this permit in.conjunction with a building permit? Yes ❑ No' (Check Appropriate Box Purpose of Btulding Home. Utility uthotization No. ) � � Existing Service Amps / Volts Overhead D Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of McL=rs Q z umber of Feeders and Ampacity Lu tr._ I" ocation and Nature of Proposed Electrical Wort: NQ,tI.) N m 645 Connec�al� FCL .• ._ ___ _.._. Completion of the fofbw�q table may be waved by the lnsaerlar of fi vu, W p r°- of Rer_ssed Lunxiaan-es INo.of Cei1.-Snsp.(Paddle)Fags INo•or Total Transformers KVA (� W a. of Luminaire No.vfHotTubs IGenerators - KVA ' t� 0 W - o.of Luminaires (Swimming Pool Above In- Ivo,of aaergency l,bnnng m sand. crit. IN o. Units m"�I o, of Receptacle Outle�s INo.of Ot7 Burners 'FIRE ALARMS IND. of Zones Na. of Switches I NNa of Detection and o.of Gas Em aers - rnitiatine Devices No. of Ranges Total INo. of Air Cond. Tons No.of Alerting Devices • Heat Pump I Number Irons jKW INo.of Self-Contained Totals: DetecdontAlertine Devi No.of Waste Disposers ces No. of Dishwashers SgacWArea Heating KW' L,ocagMunicipal Q Connection 0 Omer No. of Dryers (Heating Appliances KW Securtty S stems:° No. of Water No.of Devices or Equivalent Wiring:Heaters KW No. of No.of Data t ng Signs 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 ifderired or as required by the Inspector of Wires. Estimated Value of Electical Wor (When required by municipal policy.)to Starta�-$7 Inspectiors to be requested in accordance with NEC 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 Pil BOND 0 OTHER 0 (Specify:) I cerizfy, under the pains and penrrTAes of perjury,that the information on this application is true and complete. FIRM NAME: mein Licensee: �q �O��aster -� � _��/7/ LIC.NO.:�� (Ile e,en er Signature —Irma( ,f' LIC.N O.: _a PP pt"in the Lite numbe i .) ,1 us.TeL No . Address: a. t .- Al I• s _,r. armoj1h . I�4 r � .J `Per M.O.L.c. 147,s. -61,securitywork reDepartment Aft TeL No.:774-353-qf_ — OWNER'S INSURANCE WAIVER: I am aware that the Lensee does not have the lblic Safety"S" iability insurance coverage n — • required by law. By my signature below, I hereby waive this requirement I am the(check one)0 owner - Owner/Agent ❑owner's aeent 01 Signature • Telephone No. PERMIT FEE: $ �,o YR�'s TOWN OF YARMOUTH »,; ' BUILDING DEPARTMENT „, p-; =,�l ?y 1146 Route 28,South Yarmouth, MA 02664 � f� 2, 508-398-2231 ext. 1263 Fax 508-398-0836 �/ K. Elliott, Inspector of Wires kelliottnyarmouth.ma.us December 7,2017 Darnell Cauley 54 Captain Besse Road South Yarmouth,MA 02664 • RE: 9 Ilidden Acres Avenue, West Yarmouth Permit Number: BLDE-18-003345 Dear Darnell; The above noted location inspection failed to pass for the reason(s) listed. Article 358-30 (A) Securing & supporting. 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