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Home My WebLink Aboutblde-19-006705 Commonwealth of Official Use Only IC Massachusetts Permit No. BLDE-19-006705 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:5/28/2019 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 electrical work described below. Location(Street&Number) 28 NOBBY LN Owner or Tenant OKEEFE CHRISTOPHER Telephone No. _ Owner's Address OKEEFE MARY, 28 SCITUATE ST,ARLINGTON, MA 02174 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: Wiring for mud room. 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 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons 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 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: Justin J Fisher Licensee: Justin J Fisher Signature LIC.NO.: 13683 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:38 SADDLEBACK RD, MASHPEE MA 026492539 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:$75.00 Few 6i1 12-9 I i 1� 7/�(1? (fviccxs`erX -morA.,�) Aizy. 3( � Zo �u> sue-,. T4/1) 34t .-&ó' o,kr. F > 7/7)- wr0 ( mail ( vlSc.fetm =_ _- C f // _�_ — on+nsoruusa o ///a6sach�c�¢t2`S Official Use Only Ced I (� -_-.._ a Permit No. - _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,��` {Rev. 1/07] (� (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,f" Z 8 /9 City or Town of: YARMOUTH To the Ins ecto of Wires.• By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. . - _� Location (Street&Number) 2 3 Nia 13 a Y LEI ,. 4. :,; Owner or Tenant C µV%3 a �V- „�-e- Telephone No. Owner's Address 3 Avr. d2. -" Is this permit in conjunction with a building permit? Yes 2. No ❑ (Check Appropriate Box) Purpose of Building V.f.pit I I./4 Utility Authorization No. _ Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Und rd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 12Uj,,t 5 4— F., / i S H /) X /.) roo I (nrlf� L m Completion of thefollawin&table may be waived by the Inspector of?fires. No. of Recessed Luminaires INo.of CeiL-Susp.(Paddle)Fans No.of Total Transformers I,'V,e, No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool 'Above In- D No.of Lmergency Lighting rind. arnd. Battery Units No.of Receptacle Outlets No.of Oil Burners (FIRE ALARMS No.of Zones 0) No. of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No. of Ranges INo. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons H KW No.of Self-Contained y Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal ❑ � U Connection No.of Dryers Heating Appliances IC Security Systems:* 0No.of Water No.of Devices or Equivalent No.of HeatersNo. 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: Estimated Value of Electrical Work Attach additional detail if desired or as required by the Inspector of Wires. (When required by municipal policy.) 'J Work to Start: Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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. bl- CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) i.It I certify, under the pains and penalties of perfury,that the information on this application is true and complete FIRM NAM : i^ LIC.NO.: - Ski-- Licensee: usll vA I`1 DI e 2— (If J-f t s1--ty-�L_ LIC.NO.: /3 3 B Address: 3'3 jynter JJ J,in th�ficen mbe • Address.3ti J� - 0 26 If I Bus.Tel.No.: o y 6 p rj(�p AIt.Tel.No.:I Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic. No. ,z 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 requirement I am the(check one ❑owner ❑owner's agent Owner/Agent Signature a Telephone No. PERMIT FEE: $ 9S— TOWN OF YARMOUTH BUILDING DEPARTMENT o . y 1146 Route 28, South Yarmouth,MA 02664 `;N MATTA :E x' 508-398-2231 ext. 1263 Fax 508-398-0836 • K. Elliott, Inspector of Wires kelliott(a varmouth.ma.us July 16,2019 Justin Fisher 38 Saddleback Road Mashpee, MA 02649-2539 Location: Christopher O'Keefe, 28 Nobby Lane,West Yarmouth Permit Number: BLDE-19-006705 Dear Justin; The above noted location inspection failed to pass for the reason(s) listed. Article 314-20 Box set back not to exceed 1/4 inch. 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