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HomeMy WebLinkAboutBLDE-22-003221 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003221 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:12/7/2021 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) 69 KATES PATH VILLAGE Owner or Tenant Laine Dunham Telephone No. Owner's Address 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 0 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: Replacement HVAC. 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 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting $rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Tonal 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 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: ANDREW M LEVESQUE Licensee: Andrew M Levesque Signature LIC.NO.: 17318 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 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. 'PERMIT FEE: $50.00 W71Z- (qua Cce 8 Ow 35 t k`11/21- 96,7-(g7/r, OT‘s-pist)Lit.) C � ?/fA I l I r qi I I Commonwealth o/Maddaciumettd Official� Use Only7 / i ,i c� C� Permit No. /LZ —32`- l .0I ; .2)epartment of Sire Serviced ' —ii.7 " Occupancy and Fee Checked '^.tee BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 12/2/2021 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) 69 Kates Path E Owner or Tenant Laine Dunham Telephone No. Owner's Address I Is this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) I Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead I=1Undgrd❑ No.of Meters I New Service Amps / Volts Overhead EJUndgrd❑ No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wiring of replacement HVAC System t Completion of the following table may be waived by the Inspector of Wires. Total i No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting i No.of Luminaires Swimming Pool ❑ 0 1 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 t Total t No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained i Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 CoMunicipal nnection 0 Other No.of Dryers Heating Appliances liances ' Security Systems:* No.of Devices or Equivalent I 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 IIP Telecommunications Wiring: I No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. I 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 1 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. 1 CHECK ONE: INSURANCE ll 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: Harwich Port Heating & Cooling, LLC LIc.NO. 593 Al Licensee: Andrew Levesque Signature LTC. LIC.NO.: 17318A [ (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.•508432-3959 Address: 461 Lower County Rd, Harwich Port, MA Oto to Alt.Tel.No.: I *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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 50 t ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: kecianhphcllc.com t l TOWN OF YARMOUTH BUILDING DEPARTMENT 00074 610%'w . 1146 Route 28, South Yarmouth, MA 02664 4. 4.o.-. GY 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a,varmouth.ma.us March 2, 2022 Andrew Levesque Harwich Port Heating& Cooling, LLC 461 Lower County Road, Harwich Port, MA 02646 Location: Laine Dunham,69 Kates Path Village, Yarmouth Port Permit Number: BLDE-22-003221 Dear Andy, The above noted location inspection failed to pass for the reason(s) listed. Article 110-3(B) Maximum circuit amps 35. 40 amp circuit breaker installed. 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