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HomeMy WebLinkAboutBlde-20-005366 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-005366 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:4/10/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work desc ib d�i (Pbelow. l Location(Street&Number) 28 NEWFIELD LN Owner or Tenant AVELAR LUIZ L Telephone No. Owner's Address AVELAR MICHELE Z, 28 NEWFIELD LN,YARMOUTH PORT, MA 02675-2342 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace distribution panel. 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 d KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emer_ � . '.h ' J grnd. grnd. Battery Um t 0 /� No.of Receptacle Outlets No.of Oil Burners FIRE ALARM'S o. , 'o No.of Switches No.of Gas Burners No.of Detection an Initiatine Devices � O No.of Ranges No.of Air Cond. Tot Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained <ti Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Ot 0 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 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: MICHAEL DEI Licensee: Michael Dei Signature LIC.NO.: 32351 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 DEERFIELD RD,PO BOX 602,EAST DENNIS MA 026410602 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 6,. .-c.. ?"atro 2) 41 t to I-to V. . 47) . • =fit = 1J arfancnf o f�Ji„c�crrricM Permit No. lv s'3 BOARD OF FIRE PREVENTION REGULATIONS Occpcy and Fee Checked �`''�•F )!Z^v. 1/D 7) • (leave blank) ------_ APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be o<iartned in accordance wits the Massachusetts Electrical Code C),5 7 CM R 1 ZOD (PLEASE PRINT IN INK OR TYPE ALL INFOR ,L4TIO1) Date: ,5 1I 7 1?) 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) 2_7- 11//iAI /-/4- ID 12,E • Owner'orTenant L�(/j Z /9 1/f L 19 / Telephone No. Owner's Address S%''2)' Is this permit in conjunction with a building permit? Yes ❑ No;i2 (Check Appropriate Box) Purpose of Buulding t i C. Linty Authorization No. Existing Service./'10 Amps /Zd'I 2J'd Volts Overhead ® Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C4i.i,✓5 G . /2 C i.rec-s (F? ) f 4/ `�� Si i) P -9 _ _ _ . - - Completion of the f of table may be waive vy. the Inspector of FP es. No.of Recessed Lunn,9 !No.of Ca.-Srsp.(Paddle)Fans . INo.of Total Traasform= KVA No. of Luminafre Offers No.of Hat Tubs (Generators KVA. No of Luminaires ISM_ T.+*ng Poai Above ❑ In- ❑ Na of.me.c ep L.agtung send_ m-nd_ (Batter Units Na. of Receptacle Out.e. No.of Oil Burrners IFfRE A.LARIVLS INo.of Zones No.of Switches No.of Gas Burners 'No_of Demon and IaiatdaQ Devices No.of RangesINo.of Air Cond. ' Tons No.of Along Devices No.of Waste Disposers IH eat Pump 1Number lions IKW (Na,of Self-Contained Totals:I 1 I lDetection/Alertiing Devices No.of Dishwashers ISpace/Area Heating KW- ca Municipal -Lol�Caanection ❑ other No.of Dryers Heating Appliances KW I.eeurity ;* No.of Water No_of evices or Equivalent Heaters KW No.of No.of IData Winn Signs Ballasts Na.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total AP Telecommunications Wiring No.of Devices or Equivalent O 1 tibR ce Attach additional detail if desired or as required the Estimated Value of lectrical Work` vco, '' e4'- by Inspector of Wirer. I SG (Mtn required by municipal policy.) Work to Start: 3j iv"(a, Inspections to be requested in accordance with MEC Rile 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 rrhibited proof of same to the permit issuing office. CHECK ONE: NSURANCE#g BOND 0 OTHER 0 (Specify:) I certify, tender the pains and penalties,of perjury,that the information on this appacation is true and complete.. FIRM NAME: ems¢�/ Co- ,-Lcf7eee/A„/ LIc NO.:323�l 1 Licensee: /G4,Re-/ cO..T Signatures/�%�l,/\, ��("`' LIC.NO.:3'2 ,f- (If applicable ter" t"in the license nun lire;.)., Address a L u2 Bus.Tel.Ida.: F s S f Z Alt 5 . 3 82 ,j "Per NLG.L.c. 147,s.57-61,security/work requires Department of Public Safety"S"License: Uc.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner ❑owner's agent Owner/Agent © Signature ✓ Telephone No.E C:). (1 09� `6' ^ I PERMIT FEE: $ LN TOWN OF YARMOUTH oBUILDING DEPARTMENT C-H:i1146 Route 28, South Yarmouth, MA 02664 EJ/�Va 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott ayarmouth.ma.us April 10, 2020 Michael Dei P. O. Box: 602 11 Deerfield Road East Dennis, MA 02641-0602 Location: 28 Newfield Lane, Yarmouth Port Permit Number: BLDE-20-005366 Dear Mike; The above noted location inspection failed to pass for the reason(s) listed. Article 230-67 Surge protection 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