HomeMy WebLinkAboutBLDE-21-003983 .. "_` Commonwealth of Official Use Only
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Permit No. BLDE-21-003983
1— ,i " 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:1/20/2021
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 bell✓.
Location(Street&Number) 22 VINEYARD ST e) k--Q
Owner or Tenant M I I A Telephone No. / ,n�
Owner's Address M 0 '""� �L
Is this permit in conjunction with a building permit? Yes 0 No 0 (Che oprlie Beau
Purpose of Building Utility Authorization No.
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 ..of*leers
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service
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 41), KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lig g
grnd. grnd. Battery Units 1
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No i f Zones ,
No.of Switches No.of Gas Burners No.of Detectio -i d`�. a
Initiative Device ci•. �o C�
No.of Ranges No.of Air Cond. TotaTons No.of Alerting Devi;•s %it` �� \ y
No.of Waste Disposers Ari
Heat Pump Number Tons KW No.of Self-Contained ` C, '.,, Owl
Totals: Detection/Alertine Devic �-'•'
Municipal <
No.of Dishwashers Space/Area Heating KW Local 0 Connection t
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: Adrian P O'Malley
Licensee: Adrian P O'Malley Signature LIC.NO.: 2414
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 167 COLWELL DR, DEDHAM MA 020266421 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: $50.00
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BOARD OF FIRE PREVENTION REGULATIONS [ROccev. l/07]ancy and Fee Checked(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical C (MEC 527 CMR 12.00
I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' `3 ?�20
City or Town of: C w n p1 t To the In ect of Wires:
By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below.
Location(Street&Number) 2 L v k.N lry 1)a° 5
Owner or Tenant (arty est,\_ Telephone No.6l"1.-5:55--j61$
1Yesi Owner's Address 2Z ��.h..�v\cil`� ' r-
Is this permit in conjunction with a building permit?
No ❑ (Check Appropriate Box)
Purpose of Building �ev.rr�\t� ��� Utility Authorization No.
Existing Service (O 0 Amps rbe/7.110 Volts Overhead Undgrd❑ No.of Meters I
L New Service
SOU Amps 1120/24e) Volts Overhead( 1--. Undgrd 0 No.of Meters t
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Q.41 o Q o cni A 140 A bk,42 SeAv
v=y Completion of the following table mg be waived by the Ins ctor of Wires.
v
No.of Recessed Luminaires No.of Cell-Snap.(Paddle)Fans No.o otal
Transformers KVA
m No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting
grnd. ❑ gird. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of ,as Burners No.of Detection and
Initiating Devices
i`z No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
No.of Waste Disposers Totals:
Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertingj)evices
No.of Dishwashers Space/Area Heating KW Local 0 Municipalnnection 0 Other
Co
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 TelecommunicationsWiring:
No.of Devices or Equivalent
OTHER:
Atrach additirraitzf t.ail i desired,or-as red
_ - f required by -Inagestcar of-Wires,-----
Estimated Value f El trical Work: ' 2t Q (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE RAGE: 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 covers a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [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: LIC.NO.: /Gf4?
Licensee: k�2VW di klie Signature .,j ,„ b LIC.NO.:
(If applicableente " empt"in the Ole ber{{ite.) nn Bus.Tel.No.bfl-Z_13-03S.Z
Address: 1t'�1-lu A I. \3\k OZ(ic 3 Alt.TeL No.:
'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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/AgentPERMIT FEE:$
SignaturetuneTelephone No,
(6q:CrZ44,4_ TOWN OF YARMOUTH
o BUILDING DEPARTMENT
p . -y 1146 Route 28, South Yarmouth, MA 02664
N ., T^ ^ •3�; 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(u varmouth.ma.us
January 28, 2021
Adrian O'Malley
167 Colwell Drive
Dedham, MA 02026-6421
Location: Jimmy O'Brien, 22 Vineyard Street, So. Yarmouth
Permit Number: BLDE-21-003983
Dear Adrian;
The above noted location inspection failed to pass for the reason(s) listed.
Article 408-4(A) Circuit I/D's required
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