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Home My WebLink AboutBlde-18-007225 / 0 Commonwealth of Official Use Only Permit No. BLDE-18-007225 �`. 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:6/20/2018 City or Town of: YARMOUTH To the Inspe for of Wires: By this application the undersigned gives notice of his or her intention to perform the elee described bel w. t O Location(Street&Number) 176F WINSLOW GRAY RD (n) 'Ayr Owner or Tenant RUHAN JAMES F Telephone No. Owner's Address RUHAN THOMAS J, 168 SOUTH ST,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr s sb' ox) Purpose of Building Utility Authorization No. .5"- Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd ❑ o 1✓ rrs rarmag� Number of Feeders and Ampacity "' ` , iepi , Location and Nature of Proposed Electrical Work: Relocate distribution panel Completion of the following table may be waive. . j , of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of a Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KV No.of Luminaires Swimming Pool Above 0 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. 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 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: Desmond P Clifford Licensee: Desmond P Clifford Signature LIC.NO.: 33276 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 MERRYMOUNT RD,W YARMOUTH MA 026734853 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:$50.00 ‹.- 9 i 3/, 8 Kileic c.T fomrr:or u ceA of mc.sacir,„4..4 Di1:3 Use Only n{ �6.r1 ki n e7. (� Permit No. _ ` 1Japartrn�nt or Scro Jcrvi. .-1_ , :� BOARD OF FIRE PREVENTION REGULATIONS Gc O a e b unpancy and Pee Checked -�`-`" �1 )Rev. 1/D7] (iezve blml) APPLICATION[ FOR-PERMIT TO PERFORM ELECTRICAL WORK Al work to be perfumed In accordance wt'Z he Massaehusetn Electrical Code C),v 7 Cla. 1 ZDO (P k"4_,$E Pp,parr p\r INK OR 77t7DE ALL INFORMA7101 Date: City or Town of: YARMO TH 1 By this� 1 o the I ecto of Wires: application the underri ed Wires notice of his or her intention to perform the elect ical work described below. Location (Street&Number) 7W 14 o . Owner or Tenant '7),/'V1 GtJ7A440 1/OccrJ(7' Telephone No. 521 Sd Owner's Address _ - Is this permit in conj�IlCt1Dn with a building n " s permit? Yes n No _ (Check Appropriate Bnz) Purpose of EtrtltimQ t Utility Authorization Nn. ' I Ezistzag Service /0 Q a cgs /1d /Z`t.)Volt Overhead Ur drrd E No, of h'Ietass j New Service 4mps / Volts Gverhead ❑ Undgrd - ❑ NO. of hfetprs t., IV&: Number of Feeders and a..mpacity 3 /- / v c�' 1 Location and Nature of Proposed Electrical Work: // J(` E7K �/' 1 Mt AN (2045014V< /al W( *-1-0 1 5 v"-- ______th. . c...._______ ______._____::; Comnletfon ofth_IoEowtnEZ table mcy be win--pea 17?'the Inspector of) rPrrel No. of Recessed Lun TPTres No. of C�1-5 adtIIe fine . No.of Total Transformers KVA No. of Luminaire.Outlet= No.of Hot Tubs Generators EC VA. No. of Luminaires Sy1:60jo+Lag Pool above ❑ in- ❑ no.vi me-gancy Li,�n �nn end.. �ntL Batety IIi3 No. of Receptacle Outie Na. of Oil Burners I.Vr,;Fc•6..LARIVL5 N . of Zones No. of Switches INo. of Gas Bt.0 tiers ��io of D tectitin and irigIInQ Devices No. of R.aages No. of Air Cond. Tons Tonal INo.of Alerthtg Devices Hest Pump Dumber Tons IKW IN a.of Sett-Con1-ain=ri Totals: I lDemetion/Kiertuts Devi No.of Waste Disposer ces No. of Dishwashers Space/Area Heating KW' Mtap �L o�P. Connecrizicialon ❑ atm- No. of Dryers Heating Appliances KW Security Systems:* No. of Water No.of Devices or Equivalent No.Heaters KW of No. DI Data Wiring: Signs Ballacit No.of Devices or Equivalent ' No. Hydro massage Bathtubs No. of Motors Total HP TelNomfDevintions Wiring: OTRFR n.of Devices or E alent Attach additional detail if desired or to required by the Inspector of Wires. Estimated Value of E ectri 1 Work / 7o 0 Work to Sty: (When required by municipal policy.) INSURANCE C f 1 Inspectons to be requested in aecorrlmnce with 1MEC Rule 10,and upon completion. 4GE: 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 undersigned certi ies that such cov is in force,anal has exhibited proof of same to the permit issuing o The CHECK ONE: INSURANCE BOIL 0 DT 0 (spec ) WCeritY1 I certJ}', ruder the pains and penalties o f perjury,Chat th inform:Edon on reethis appEcatiorr is true and co le 3' t . 20 l FIRM NAME: 0 , /1.7 cytiO _P CC74Ffu Licensee: ( t1 jp r 'E��- Signature LIC NO.: Ofeppticnble, enter "exempt"in 1' untie number I- ) LIC 1Q0. Address. /Sc /L��""''�i`„1,,••,r NUJ G7` t Bns.TeL ado. cpog J Per M G.L. c. 147, s_57-6I,security work re Alt.Tel.Iso_: OWNER'S INSURANCE9m Department of Public Safety"S"License: Lic.No. <z bylaw. WAIVER: I am aware tha3 the Licensee does nor have the liability insurance co I requiredBy my signature below, I hereby waive this rcoverage notnor—mal ylyl i Owner/Agent requirement I am the(check one 0owner ❑owner's a eat Stgnatre Telephone No. .• PERMIT FEE:S' �1 lI ./0 ``-.*> TOWN OF V RMOUTH 4 , ; `' ',o BUILDINGDEPARTMENT e of - `', " .ice`; 1146 Route 28, South X arniouth MA 02664 MA , ESE., ' ` \moo. " 508-398-2231 ext. 1263 Fax 508-398-0836 r -/ K. Elliott, Inspector of Wires kelliott(%varmouth.ma.us July 17, 2018 Desmond Clifford 14 Merrymount Road West Yarmouth, MA 02673-4853 RE: Tom Vouno, 176 Winslow Gray Road, W. Yarmouth Permit Number: BLDE-18-007225 Dear Desmond; The above noted location inspection failed to pass for the reason(s) listed. Article 210-12(D) Branch circuit extensions. Please forward the required re-inspection fee of eighty dollars (S80.00) 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 4/: \, K. Elliott, Inspector of Wires