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HomeMy WebLinkAboutBLDE-19-000025 Commonwealth of Official Use Only Permit No. BLDE-19-000025 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:7/2/2018 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) 44 MATTACHEE RD Owner or Tenant GIGLIO ROBERT P Telephone No. Owner's Address GIGLIO MARIANNA,70 POND ST,STONEHAM, MA 02180-2841 / s , ,% V 4 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)r� , Purpose of Building Utility Authorization No. 2 _� e` 0 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service and re-bar grounding. 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. 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 ❑ 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: Lawrence W Berger Licensee: Lawrence W Berger Signature LIC.NO.: 53123 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 SCOTIA WAY, NASHUA NH 030621859 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 q12_ 2( (i '8 E- gA{L N - (e e 61/6'S 7 (71( —1-Ed • Commonwealth -_ �r/aac�uesslfi Official Use Only _ l �� �� r� 1Jeparfinent o f..tire�7 Permit No._�`I C( � li Ci 2- _ -_ arvica9 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked `�f rRev. 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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the lmde;signed gives notice of his or her intention to perform the electrical work described below. JLocation (Street&Number) y y cc i d ti "YY r tou' Md Owner or Tenant go 6i�l)t`0 Telephone No.--N)- g 7 7~ 3 0 e Owner's Address J ttO Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building Ham- Utility Authorization No. `z Zc' '2..-40 Existing Service Amps / s. P Volts Overheadi Undgrd❑ No.of Meters New Service •�J'O Amps fr /t�0 Volts Overhead Undgrd gr ❑ No.of Meters / ,. > = Number of Feeders and Ampacity " _NI Location and Nature of Proposed Electrical Work: —no? N - Completion of the following table may be waived by the Inspector of?'Tres. No.of Recessed Luminaires No,of Ceii.-Susp.(Paddle)Fans No.of Total J Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of l mergency Lighting grnd. ^rnd. 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number[Tons KW No.of Self-Contained Totals: r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local D Municipal Connection ❑ � No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters KW Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs [Telecommunications Wiring: No.of Motors Total HP OTHER: No.of Devices or Equivalent 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: "7—,2 — 1.4? 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 71 BOND ❑ OTHER I certify,under the pains and ❑ (Specify:) p Wallies ojpe le.4 information on this application is true and complete. FIRM NAME: Licensee: � YV �' LIC.NO.: 6'3 [,a, (� (If applicable,enter em t in t e license number line.) Signature LIC.NO.: Address -�[� Bus.Tel.No.: �O j `Per M.G.L. c. 147 s.57-61,security work requires Department of Public Safe Alt.Tel,No.: OWNER'S INSURANCE WAIVER: I P Safety"S"License: Lic.No. am aware that the Licensee does not have the liability insurance coverage nr S required by law. By my signature below,I hereby waive this requirement I am the(check one 0 Owner/Agent owner El owner's a:ent dSignature Telephone No. • PERMIT FEE: $ 4 0 �` --- TOWN OF YARMOUTH ik �� �4i;< BUILDING DEPARTMENT to - .:` 1146 Route 28, South Yarmouth. MA 02664 �I..TACY ESE_ ;�r 508-398-2231 ext. 1263 Fax 508-398-0836 - ' K. Elliott, Inspector of Wires kelliott(a�varmouth.ma.us July 20, 2018 Lawrence Berger 5 Scotia Way Nashua, New Hampshire 03062-1859 RE: Robert Giglio, 44 Mattachee Road Permit Number: BLDE-19-000025 Dear Larry; The above noted location inspection failed to pass for the reason(s) listed. Temporary service not high enough to submit to utility company for connection. 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