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Home My WebLink AboutBlde-20-001380 ,a. ›,(Cli*Commonwealth of Official Use Only 1 .41* Massachusetts Permit No. BLDE-20-001380 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:9/11/2019 City or Town of: YARMOUTH To the Inspector of Wires: ("l n. 04,(08 By this application the undersigned gives notice of his or her intention to pertorm the electrical work described belo . l�✓ Location(Street&Number) 111016 COURTLAND WAY C?--t I>C•0 Owner or Tenant MAR911,101RieE Telephone No. Owner's Address 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: Repairs per attached permit. (16 COURTLAND WAY) 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 Initiatine 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:) r37_ �� I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Michael G Dooley Licensee: Michael G Dooley Signature LIC.NO.: 34527 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:79 JACKSON ST,TAUNTON MA 027801535 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:$75.00 Userq6or- 4l (CI 2.,C3 W NII-tc- nuo-t3 300- 4 (&(t) =i Ri,) 4( It./ \`-E-( EALS g173( S e G (syzA (((I 3(( ? 4 Jam') icebv/9 (43 f ,nnD-b/w -- eid5 c�.Ptviz> co- 4(Q3 tt f6r�r4t, N C�ommonweaCth of I//asaac�zuzelf4 Official Use Only F ._ v Permit No. �� (3 g® r!./ cc�� - j s. 2epartment al3ire Services " Occupancy and Fee Checked -- � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 `„.. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 C ' 12.00 0 f't 'SE PRINT IN INK OR TYPE ALL INFO TION) Date: 90// ,2 D/ w Q, i 2 City or Town of: W�s f. /�✓V'9 OU7� To the Inspe or o fires: o I by ,is application the undersigned gives notice o is or herintention to perform the electrical work described below. .-i oc'tion (Street&Number) C�UflLeiL) ' .S'T /6 G/PST yRnAt& u7/` mil. •--, l�vi'r or Tenant i3' �i JQ.'Gt4e /t e,4./t� G G Telephone No. s-p c31!' y76,f- O W o r is Address /6 / /�,b!' f G-1fA y ii- y� ti tt' G) LS! C/) s-thi permit in conjunction with a bui din permit? Yes No ❑ (Check Appropriate Box) �r arg.se of Building ,C e„„ ,, L W. Utility Authorization No. ---- txisting Servicec200 Amps /.?o/o?y0 Volts Overhead n Undgrd ri No.of Meters 3 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity A' 00 AryP Location and Nature of Proposed Electrical Work: add;n i ,2/Lem) cl`rcu t'T S 1-4,k;Toile v AtliifirAtubly rvew(i , ,30/dly, ( ,tick) c,t,'cu'eT i Al /?Afill 641_ /Fithtittf,yr1-PAv1rfrl AVID e.wy ts'r rpa-pi"-s - - g$'w,'Cylc S 1 t/5P1V mpletion of the following table nu 'be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA Above ri In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons -KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ri Connection 1-1 Other 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 Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: i/ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electri al Work: (.0" do- 00 (When required by municipal policy.) Work to Start: 0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 R (ibSpecify:)tiAQ-Or, -'N- I certify,under the pains and penalties of perjury,that} the informationor on this application is true and complete. FIRM NAME: /1'1,c 14,4 el 0,00 C t! G t/CC T!r r',i4 LLIC.NO.: 3y�_27, Licensee: /"tiC/7I4f ( ,. o/,L Signatures _,�. � , �, LIC.NO.:34if27,k7 (If applicable,enter qexempt in the license nu er line.) Bus.Tel.No.: Address: 7 [ 7'Ac k So A.) S'T f4t A1T 0 it/ /t7/4C5 Alt.Tel.No.:Sl/ 'K3 7 9/92 *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 3US,? 7 E 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)0 owner 0 owner's agent Owner/Agent I PERMIT FEE: $ Signature Telephone No. The Commonwealth of Massachusetts I,2 . 4 Department of Industrial Accidents -- ,, i t►t Office of Investigations w �;� v --• y ! 1 Congress Street, Suite 100 :w � Boston, MA 02114-2017 btfw�:: www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): / i /L Ale I DOb/ry (le Cfjfir,��!✓ Address: 7 y 3',41Lf cahi '— City/State/Zip: -r4o) (d /11Acs 0,27,9,0 Phone#: 5:0 g . 3 7 9/ 9..2 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I loyees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. [I Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp.insurance comp. insurance.$ required] 5. ❑ We are a corporation and its 10.R'Electrical repairs or additions 3.❑ I am a homeowner doing all work offir ers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t .c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: -- City/State/Zip: Attach a opy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Line up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine Df up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. r do hereby certify under the pa' d pe, ties o perjury that the information provided above is true and correct 'Signature: Date // -?D/ Phone#: , 6"0 * D 3 7 7/9Z Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 'Elliott, Ken From: mdooley <mdooley@bptech.org> Sent: Monday, September 16, 2019 1:12 PM To: Elliott, Ken Subject: Request rough Inspection Attention!This email ates.'outside of the org izat on. 1 not open attaelYnentv or dick links unless you sr ure A sender and o , n�p t { the'fi 'rnd`er to Y�hi 2J.uns . r 14SCII XIf`s � ��e thisdelete ° m ate, . 6 6 Request rough Inspection for 2 new circuits in the kitchen 1 for dish washer and one is for counter plugs 1 new circuit in bath room for gfci plug and added bath fan/light combo wired from existing 15 amp circuit location 16 Courtland St West Yarmouth lock box at front door#2468 Thanks Michael Dooley Phone 508 837 4192 Sent from Mail for Windows 10 1 of.1(4 TOWN OF YARMOUTH • 4o BUILDING DEPARTMENT o wei4 41, . y 1146 Route 28, South Yarmouth, MA 02664 N MATTA �s� 508-398-2231 ext. 1263 Fax 508-398-0836 �o.•a•srco``'� i K. Elliott, Inspector of Wires kelliott(a,yarmouth.ma.us September 18,2019 Michael Dooley 79 Jackson Street Taunton, MA 02780-1535 Location: Bayridge Realty, 16 Courtland Way, West Yarmouth Permit Number: BLDE-20-001380 Dear Michael; The above noted location inspection failed to pass for the reason(s) listed. Article 300-4 (A)(1) Protection (2x3 construction requires nail plates) 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