HomeMy WebLinkAboutBlde-21-000920 /�� ua yy� .
lamo o�/i/assac - Official Use Only
jPermitNo. 1 � — Z BOARD OF FIRE PREVENTION REGULATIONS• Occupancy andFee��
[Rev. 1/07) (leave blank)
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
AU work to be performed in accordance with the Massachusetts Electrical Code ' ,527 i; 12.00
(PLEASE PRI VT IN INK OR TYPE ALL INFORMATI019 Date: 8* ,V_-0 , ,,,,,_
B City or Town of: y�OUTH To the I •--or of Yir- -
Y this application the undersigned gives notice of his or her intention to perform the electrical svo. described below.
Location(Street&Number) r �7 — _ g /
O wner.,or Tenant Tel cot
/�� , a -
�` Tel• � �o , ` -4�--
Owner's Address ,ti►n� .� ,
r a�
Is this permit in conjuncti n with a b permit? Yes ❑ No (Check . , , r
�, I�r ❑ P' p�)
, \/(V'
Purpose of Building e,4 r JJ -"- Utility Authorization No _ 4 207 ,
`i Existing Service / 1 ' ���,� 6 O
/, 1� ! Amps lvv" Volts Overhead Undyrd❑ v�
�� �s New Service Amps /, Volts Overhead❑ Undgrd 0 No.of M- �' T
A Number of Feeders and Ampadty �`---
ili c.). ii tion,nd}lature of posed Electrical Work: c
�� _ ,L�
io �� t,Ay�r1 out l 1- � o q
lz �T—
Completion o tbelollowingrabre may be
1, "Go' No.of Recessed No.of • Inspector o
Mz 13 Luminaires No.of Cal-Sosp.(Paddle)Fans Transform 4"Viit Total
No.of Luminaire Outlets No.of Hot Tubs Gen„.41N ' �r��
161
V - No.of Luminaires Swimming Pool Abodue 0 mod- ❑ No. ` ', '' `' , t ' .
No.of Receptacle Outlets f ;i ' j
O No,of Olt Burners FIRE - '�
'N.p No.of Switches No.of Gas Burners No.of Detection
Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Q
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained -
Totals:I ' Detection/Alertingpevic j� 24
No.of Dishwashers Space/Area Heating KW Local❑Municipal
Connection 0 otker
2 No.of Dryers Heating Appliances KW Security * -
No.of Water No.of No.ofs�es or Equivalent
V Heaters ' No.of 'Data Wiring:
Signs Ballasts No.of Devices or Equivalent
_C� No.Hydromassage Bathtubs No.of Motors Total HPTelecommunications Wiring-.
• No.of Devices or Equivalent
v OTHER:
Attach additional derail if desired or as required by the Inspector of Wirer.
Estimated Value of I 'cal Work /mod, ✓ (When required by municipal policy.)
' Work to Start S`r9 �," Inspections to be requested in accordance with MEC Rule 10,and
Qpon completion.
INSURANCE COC 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"
0 coverage its
undersigned certifies that such coverage is in force,and has exhibited proof same to the epermit issuing office.tial The
Q CHECK ONE: INSURANCE,Iir BOND 0 OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the�infpor n on this application is true and complete
O FIRM NAME: O Y' oils 0-ker r t G fit)c LIC.NO.: p/s02 re)
Licensee: /L or /'1-/ Signature LIC.NO.:
(If applicable.enter" t" Iicerese number 1' ) t Bus.Tel.No.-
Address: 37 Qg/4g/ 1'q y 7r We-,(fie ,D - •r I'''",' Ali;Tel.No.:
j *Per M.G.L.c. 147,s.57-61,securl y�gr rk requires Department of Public SafetyyS"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)❑owner 0 owner's agent.
Owner/Agent
IA Signature- - Telephone No. I PERMIT FEE: $ 1
..'10t. A.R TOWN OF YARMOUTH
k ' - o BUILDING DEPARTMENT
O . _ y 1146 Route 28, South Yarmouth, MA 02664
". ,�,*'G'." 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(avarmouth.ma.us
Gordon and Sons Electric, Inc.
37 Billingsgate Drive
Dennis, MA 02638
RE: 48 Jacqueline Circle
Permit Number: BLDE-21-000920
August 24,2020
Dear Mr. Gordon;
The above noted location inspection failed to pass for the reason(s) listed.
1. A300.15(C),A314.17(B)(3), A356.42 -NM cables entering device box through LFNC
not clamped on open end.
2. A210.8(A)(10), A100-Clothes dryer receptacle to be GFCI-protected.
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
AJ Pulley,
Assistant Inspector of Wires
C.: K. Elliott