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
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• Commonwealth
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�� �� r� 1Jeparfinent o f..tire�7 Permit No._�`I C( � li Ci 2-
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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