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Home My WebLink AboutBlde-20-000347 o• Commonwealth of Official Use Only rfil ►, Permit No. BLDE-20-000347 Massachusetts 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:7/22/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 191 STATION AVE Owner or Tenant POPILLO JAMIE S Telephone No. Owner's Address 191 STATION AVE, SOUTH YARMOUTH, MA 02664 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 split A/C system(Done by others) 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. 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 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 0 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: CHARLES K SWANSON Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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: $200.00 W....., g 01, 1(ci t , _- Commonwealth e f V aldac ffs ,. • Official Use Only 47 ell = 2epagnsenf o f...firs Services Permit No. /V 3 —E.-1 != Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] peeve blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.D0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: Th z l City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) /Cj 5IC, r [Gaq v Owner or Tenant Pc.10,cam. ect r Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ta— (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L) C J, p^ - it°e-, / SpL Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Col.-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 • und. grnd. Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS !No.of Zones . 1 No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. ( Toa 3 No.of Alerting Devices No.of Waste Disposers Heat Pump `Number I Tons 1 KW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingMunicipal KW Local❑ Connection ❑ Omer No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.ofNo.of Devices or Equivalent Heaters ' '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 Value of Electrical Work u�- (When required by municipal policy.) Work to Start ' 7.22- 1 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 BOND ❑ OTHER 0 (Specify:) I cerfY, under therpiains and penalties of perjury,that the information on this application is true and complet FIRM NAME: C P k 5 5-,,,9G v//‘ LIC.NO.: Licensee: Signature�� LIC.NO.: k3 re,(-5 (If applicable,enter"exempt"in the license number line). Address Bus.Tel.No. ( j `Per M.G.L.c. 147,s.57-61,securi work Alt.TeL No.: ty re quires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— o — mIly required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent. Owner/Agent 1 Signature Telephone No. [PERMIT FEE: $ o�'YRR TOWN OF YARMOUTH - C BUILDING DEPARTMENT o . y 1146 Route 28, South Yarmouth, MA 02664 'x 508-398-2231 ext. 1263 Fax: 508-398-0836 M��.0.1iC0��3�� _JJJJ K. Elliott, Inspector of Wires kelliott(a,varmouth.ma.us July 17,2019 Janelle Crahan Dakota Rafuse 41 Vacation Lane West Yarmouth,MA 02673 RE: 191 Station Avenue, South Yarmouth,MA 02664 Dear Ms. Crahan & Ms. Rafuse; It has been brought to my attention that you have recently installed or had installed a split air conditioning unit on the North side of your subject property. Massachusetts General Laws Chapter 143 Section 3L requires that a permit application be submitted with five days of the start of the work. I find no record of any work being permitted at this location. Permits and inspections are here to protect you,the owner of the property, or any occupants of the property from work that may have been done improperly. Please contact me, at my office, as soon as possible. If you have any further questions please do not hesitate to contact me. Sincerely, Town of Yarmouth, Building Department K. Elliott, Inspector of Wires