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HomeMy WebLinkAboutBLDE-19-007229 yam. Y) Commonwealth of Official Use Only ' Massachusetts Permit No. BLDE-19-007229 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:6/24/2019 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 electncal work described below. Location(Street&Number) 72 CAPT CHASE RD Owner or Tenant SALMON MARTHA E Telephone No. Owner's Address P 0 BOX 458, PEMBROKE, MA 02359 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 0 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: Install generator. 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting rnd. 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 Initiatine 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 ❑ 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 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. 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: ANDREW M LEVESQUE Licensee: Andrew M Levesque Signature LIC.NO.: 17318 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 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 rdL f3(61(9(((I l9C t6 63(149 CSF/*`068) 1 iky - 1 ° ( c 9 ®,Qc,`ok '�'� Commonweallb o/9addachtmett6 Official Use Only PI ,AWL- _-al t Permit No. j4 Z L c ■I= epar menl o/3ire Serviced st !E5 Occupancy and Fee Checked ..----=---t7 BOARD OF FIRE PREVENTION REGULATIONS„.� [Rev.1/07] (leave blank) 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: 6/20/19 City or Town of: SOUTH 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) 72 CAPTAIN CHASE Owner or Tenant SALMON • Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization No. Existing Service 200 Amps 120/ 240 Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: furnish and install standby generator Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Soap.(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 Emergency Lighting grnd. grad. 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. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 0 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9,956.00 (When required by municipal policy.) Work to Start: 6/20/19 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 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 IN BOND ❑ OTHER ❑ (Specify:) I certt,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Harwich Port Heating &Cooling, LLC LIC.No.:17318A Licensee: Andrew Levesque Signature ,G' `e_,-' LIC.No.:35976E (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. 508-432-3959 Address: 461 Lower County Rd, Harwich Port, MA Okoz+o Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this check one requirement. I am the Owner/Agent ( )0 owner El owner's agent. Signature Telephone No. I PERMIT FEE:$ 50.00 ** Please fax a copy back to us at 508-430-6075 ** Aug. 5. 2019 11 : 11AM No. 4361 P. 1 RECEi . TOWN OF Aijui _ BUILDING DEPAtT� NEIJ'' U46 OWE 28, SOUTH YARIPAr UTH, 02664 FAX: So-39 PHONE 5O8 39,` -2231 "t 12$3 1KJ EUUOT r 9:00 • REQUEST FOR ELECTRICAL INSPECTION: :4 S DATE: Sig DATE REQUESTED FOR INSPECT ON: ADDRESS; � {P (J (W*SE RCA) OCCUPANT: SILWON • • TRENCH: ROUGH: . . SERVICE: FINAL: NSTA.R WORK ORDER NUMBER: OThER: I g Lit -/ PERMIT VNDER: HARWICH PORT HEATING-& COOLING - PHONE: 508.432=3959 FAX:50g-432-6075 ' LICENSE : 17318A SPECIAL INSTRUCTIONS: I WO T W �f .of'YRRTOWN OF YARMOUTH r: a BUILDING DEPARTMENT 0 - hitoi 1146 Route 28, South Yarmouth, MA 02664 ' MATTA r �s� °4r, 508-398-2231 ext. 1263 Fax 508-398-0836 �a1101.iL0��Gi�� K. Elliott, Inspector of Wires kelliott(a,varmouth.ma.us August 8,2019 Andrew Levesque Harwich Port Heating& Cooling 461 Lower County Road Harwich Port,MA 02646-1831 Location: Martha Salmon, 72 Captain Chase Road, S. Yarmouth Permit Number: BLDE-19-007229 Dear Andy; The above noted location inspection failed to pass for the reason(s) listed. Massachusetts Electrical Code 527CMR-12.00. Rule # 10 Installation shall not be covered until inspected. 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 i o3Z o3'�° c p m y p p tip„ e 3c.. 3c- 3 '^ ' a" z, 0 ' nail n A li R0 R0 © tip F m N3 u 0 I D 0 c n n m < 3m0 o 3 3 0 N N OS !D O [D O n*C D O < r Q � 3 v DD • ' Opt iD S O 1 il D Z a m G ' L© n � n < n n < 3 ti _ p I i',1, z z oN F - m 47', z o n - "' c N - ', * n f z z 0 z - v c 11111 2coo 3N°3 m ':J1 _°n om m R.^.f 3ai„S ^ z^,°om ( a D1-„,' r III n o 1,�, CO a F a a n F n f m P, ��•. Q ai cFi ai c ai i° j c o Z �, w „ P r N 0 f. rril � o m cD ? — < — oN cx 7 A 9 a � 1:7 1;MO :7- g-i' H m m m m s g m' T A a'x r DD2 D;' - D D 3a y 3 m D m INSTALLER:VIVINT SOLAR _ _�� ; Yap Residence E.1 DD P 3-line 3 -a INSTALLER NUMBER:1.877.404.4129 \l�[/� z Drawing MA LICENSE:170359 t 17 WRMOUT ,ILDWOOD PATH 6151416 WEST YARMOUTH,MA 2673 Created:7/02/19 Utility Account:1429 816 0020