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Home My WebLink AboutBlde-19-002053 _„:\ . VY or Commonwealth of Official Use Only Permit No. BLDE-19-002053 E 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:10/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pert orm the ele cat work described belo'``� Location(Street&Number) 49 PAYSON PATH 14 `JQ(,t I M Owner or Tenant l A, Telephone No. Owner's Address -'49 PAYSON PATH,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A;,ropriate Box) Purpose of Building Utility Authorization No. Q Existing Service Amps Volts Overhead 0 Undgrd 0 'i. T _ r • New Service Amps Volts Overhead 0 Undgrd 0 o. : 14i• rot) Y� _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install dryer P �� Completion of the following table may b�6' •7, s or of Wires. No.of johl No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above 0 In- CINo.of Emergency Lighting grnd. grnd. Batter,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 0 Municipal 0 Other: Connection No.of Dryers 1 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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. I PERMIT FEE:$50.00 1 .A l 3 8 l= 0_ 2:. s-p i) N4A '(,o('? ( Cu3 ) Commonwealth of Vaaaachrusetta Cie t�s arz,5/ N .gip Permit No.c-� [� C� Ji �L1eFar�rnsnt o irs ¢rvctes ' �( ' Occupancy and Fee Checked 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 . t (PLEASE PRINT IN iNK OR TYPE ALL INFORMATION) Date: /e CA City or Town of: 4f fr#1404k To theInspector of� IY S: By this application the undersigned gives nohis or her intention to perform the electrical work described below. Location(Street&Number) % soi" . Owner or Tenant Oa,fba e rti. Telephone No. � "��1 tOwner's Address 'fq faz+SG.( fa 214 £ (/2/7 3 Is this permit in conjunction�with a building permit? Yes No Er (Check Appropriate Box) , c::. Purpose of Building 14 S ill dli*et/ Utility Authorization No. Existing Service Amp/ / Volts Overhead lindgrd U No.of Meters New Service Amps / Volts Overhead C Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: insteci( 6 4 60v Completion of thefollowing_table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units t V No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners No.IDete Innitiatinntiong Devices 0 " No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers heat Pump 1 mber Tons -kW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 44 Connection '._...�, I '' HeatingAppliances Security S stems:* .0 Dryers pp KW I�_D No.of Devices or Equivalent { o.QiW ter No.of No.of Data whin „^`.-, Heaters Signs Signs Ballasts No.of Devices or Equivalent Ct Telecommunications-Wiring: rr l! .Hydromassage Bathtubs No,of Motors Total RP No.of Devices or Equivalent r ) : pril ER: O� 4 ;,v Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Wor 2E0 , (When required by municipal policy.) • Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. _.._-..r.._....... .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 0 OTHER ❑ (Specify:) Icertify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: licensee: Signature LIC.NO.: (if applicable,enter "exempt"in the license number line.) Bus.Tel.No.. Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor 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. OwnerlAgent Signature <4'4_ Telephone No. or 6- (73/ I PERMIT FEE:$ 6O /1 -3 I V 3/ Lf_-.:3 I3 sp, cam- � S �4 STAT LP We 2E Age__ ret-ua--- -2_03 cA) Igo 'YRR TOWN OF YARMOUTH 0 BUILDING DEPARTMENT o . -y 1146 Route 28, South Yarmouth, MA 02664 • �)Mt o.,:YJ'� 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(ayarmouth.ma.us October 23,2018 Barbara Bowman 49 Payson Path South Yarmouth, MA 02664 Location: 49 Payson Path, So. Yarmouth Permit Number: BLDE-19-002053 Dear Barbara; The above noted location inspection failed to pass for the reason(s) listed. (� Article 110-12 Mechanical execution of work. Article 210-12 Arc fault circuit breaker required. Porri'v'' Article 250-8(A) Connections of ground conductors. Article 250-148 Continuity of grounding conductors. Article 314-25(A) Nonmetallic covers. Article 314-25(B) Exposed combustible surface. "ci Expose electrical heat, 'unction box, to confirm existence of low voltage relay. (1/4 (POc.� 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