HomeMy WebLinkAboutBLDE-22-001289 Commonwealth of Official Use Only
r-- tsli; Massachusetts Permit No. BLDE-22-001289
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:9/6/2021
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 below.
Location(Street&Number) 38 CHAMBERLAIN CT
Owner or Tenant BURKE THOMAS C Telephone No.
Owner's Address BURKE ROBERTA DIANNE,38 CHAMBERLAIN CT,WEST YARMOUTH, MA 02673
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 ❑ 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: Install generator.
136—d- = 5-V4w/ 4,4. .
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 1 KVA 13
No.of Luminaires Swimming Pool Above 0 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
Initiating Devices
No.of Ranges No.of Air Cond. Total
No.of Alerting Devices
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 Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens 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: E F WINSLOW PLUMBING HEATING CO INC
Licensee: RICH M MELVIN Signature LIC.NO.: 21829
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:8 REARDON CIRCLE, SOUTH YARMOUTH MA 02664 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 my
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERNH
J
/Z Pos7 4T tT eRta t [e 0144,0 <� .:
1.OM4QC 4/246V
Crl1(3 0140/12)I 2- )
..)
Otbe. 4.. I %C. C: 3 el—
o 1-3,4 61
V.
A Commonwealth of Massachusetts g Official Use Only
is " �i t Permit No. (�2 —(Ze c1
1- Department of Fire Services
(
Occupancy and Fee Checked
,,,- BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
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: 8/25/21
0 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)38 CHAMBERLAIN COURT,WEST YARMOUTH
(', Owner or Tenant THOMAS BURKE Telephone No. 5087754830
51 Owner's Address SAME
\�V..? Is this permit in conjunction with a building permit? Yes ElNo ❑✓ (Check Appropriate Box)
Purpose of Building DWELLING Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead ElUndgrd❑ No.of Meters
..Jtt�� Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: TRENCH AND FINAL 13 KW GENERATOR
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp. addle Fans No.of Total
1 (PaddleTransformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators 13 KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool
grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. InDeteand
Initiatinnggon Devices
No.of Ranges No.of Air Cond.
To
No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local Municipal ❑Other
P ❑Connection
No.of Dryers Heating Appliances KW Security Systems:*
Y No.of Devices or Equivalent
No.of WaterKms, 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.ofDeiceor Equivalent ent
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: Inspections 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 ® BOND 0 OTHER 0 (Specify:) .
I certify,under the pains and penalties of perjury,that the information on this ap lication is true and complete
FIRM NAME: E.F.WINSLOW PLUMBING& HEATING CO., I LIC.NO.:3281C
Licensee: RICHARD MELVIN Signature - LIC.NO.:21829A
(lfapplicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-394-7778
Address: 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Alt.Tel.No.:
*Security System Contractor License required for this work;if applicable,enter the license number here:
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 [l owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
E.F. Winslow Inspection Department email : inspections@efwinslow.com
'Y R TOWN OF YARMOUTH
o BUILDING DEPARTMENT
o _' � ' -y 1146 Route 28, South Yarmouth, MA 02664
�' MATTA � 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a�varmouth.ma.us
October 13, 2021
RE: Permit Number BLDE-22-001289
Mr. Rich Melvin
E. F. Winslow Plumbing & Heating
8 Reardon Circle
South Yarmouth, MA 02664
Dear Mr. Melvin;
The above noted location inspection failed to pass for the reason(s) listed below.
• A356.30—Secure LFNC where it emerges from grade at generator.
• A110.21(B), A702.7(A)—Signage shall be legible and permanently affixed.
• A702.4(A)(2)—Provide a load calculation per A220 for the dwelling unit.
• A230.85—Emergency disconnect not labeled.
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: Ken Elliott