HomeMy WebLinkAboutBLDE-19-006789 (,�.�� Commonwealth of Official Use Only
6 .tMassachusetts Permit No. BLDE-19-006789
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.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:5/31/2019
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 electricAal'w sc bed below.
Location(Street&Number) 81 BETTYS PATH -01' v
Owner or Tenant telephone No.
Owner's Address P T, 81 BETTYS PATH,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes ❑ 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: Upgrade service,wire addition,&install sub 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 12 No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 10 No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges 1 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/Alertinc Devices
No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other:
_ Connection
No.of Dryers 1 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 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: EDWARD M LYNCH
Licensee: Edward M Lynch Signature LIC.NO.: 35609
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:25 WIDGEON LN,WEST YARMOUTH MA 026733818 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:$180.00
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r�= ' Occupancy and Fee Checked
BOARD OF ARE PREVENTION REGULATIONS Rev. 1/07]
(leave blank)
-
F v APPLICATION FOR:PERMIT TO PERFORM ELECTRIC AL WORK
All work to be performed in accordance with the Massachusetts Electrical Code C), 7 2 00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
.. YARMOUTH
- City or Town of: To the Inspect r of Wi es:
By this application the prtdersign$ ' ese,Alf his 4 her en' rform the elec ' work 'escribed below.
Location (Street e umber) OOO �
OwnerOwner'orsAddress Tenant /f17 0 ��
f/ 7' T
elephone No.
( 0.. Is this permit in conjunonon with ildin ermit? Yes [J No
���7 I� _ 0 (Check Appropriate Box)
urpose of Building (,(/e Utility Authorization No.�.3
Existing Service( Amps /�"�
L� F ( ,,rr,, `L/Volts Overhead Undgrd❑ No.of Meters
w Service �G Amps (1// volts Overhead Undgrd gr ❑ No.of Meters _�
, Number of Feeders and Ampacity
//Zci,
Lod.ti nod atone of Propose/ �^Electri 2 , /e
�� Completion of thefollawing table may be waived by the Inspector o fi rer.
No.of Recessed Luminaires No.of CeiL-Burp.(Paddle)Fans No.of Total
Transformers KyA
No. of Luminaire Outlets fy No.of Hot Tubs Generators KVA
No.of Luminaires / Swimming Pool Above ❑ In.. ❑ No.of it mergency Lighting
ernd. grad. Battery Units
No.of Receptacle Outlets No.of On Burners FIRE ALARMS No.of Zones
No.of Switches No. No.of Detection and
of Gas Burners
Initiating Devices
No.of Ranges / No.of Air Cond. Total
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump l Number I Tons I KW No.of Self-Contained -
Totals:I Detection/Alerting Devices
No.of Dishwashers / Space/Area HeatingKW' Municipal
Local❑ Connection ❑ er
No.of Dryers l Heating Appliances KW Security Systems:*
No.of Water No.of No.of Devices or Equivalent
Heaters ' 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:
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated VaIu ect is Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C : Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provi es 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 BOND 0 OTHER 0 (Specify:)
I certify, under the pains and enalties of perjury,that the information on this application is true , d complete.
FIRM NAM �LIC.NO.:
Licensee: ( C /f(` Signature ��lr/J�
(Ifa licable e ' ,..7 �/�� (f C.NO.:
applicable, �fi t"to he icens mb If a Bus.Tel.No.: 7
Address: Kj��. '/ -�/Jl� ! � (D't� �����f .. A.�v�Qinfr '-�I
j "Per M.G.L. c. 147,s 7-61,securitywork re Alt.Tel.No.:
rep' es Department of Public Safety S License: Lic.No.
vrt
— OWNER'S INSURANCE WAIVER: I am a e that the Licensee does not have the liability insurance coverage norm
aly
S required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's a ent.
Owner/Agent
I Signature Telephone No. f PERMIT FEE: $ 1
oF'YAR TOWN OF YARMOUTH
BUILDING DEPARTMENT
. •'/�- 1146 Route 28, South Yarmouth, MA 02664
b„,_� 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a,varmouth.ma.us
July 22, 2019
Edward Lynch
25 Widgeon Lane
West Yarmouth,MA 02673-3818
Location: John Curry, 81 Betty's Path,West Yarmouth
Permit Number: BLDE-19-006789
Dear Mike;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-12 Mechanical execution of
work.
Article 210-12(A) Laundry receptacle to
be Arc Fault / GFCI protected.
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