HomeMy WebLinkAboutBLDE-21-000629 el, c -1 y :4(7-e-F
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ti,,,,_ ... +r Permit No. �\
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I; Occupancy and Fee Checked
Y; ,,,, 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 INF RMATION) Date: 17 Vt7 . 7, 2-02-0
City or Town of: (vet,- arm 0 J+k To the Inspector of Wires:
JBy this application the undersigned gives notice of his or her intentioon�to perform the electrical work described below.
Location(Street&Number) �V R&r n b l,(> R bor ej (Na n;Ot) 6,(.7 7460 ` s ( )(v
tiGe or Tenant p am( •t M aye's U S Cr--/-0 tU Telephon o. (p 1'3- — I(0 ' —cCso u
Z Owner's Address t r 2 tf I-1-P f-n ppn i,+an Id) V�• X4 I !+$tti r )`'l l4 • e •
` l Is this permit in conjunction with a building permit? Yes No ❑ (Check A. .r. . �ex
L Purpose of Building -(O-j-t)rt hbfry-e Utility uthorization No.
,�I������,. , 1
n, 4.rvice I Q Amps /2.0 2,-(f0 Volts Overhead[t! Undgrd El N,.of 4Cii rsl j
New Service Amps / Volts Overhead❑ Undgrd❑ Lhio.'. 10
Number of Feeders and Ampactty \�\ �'�F�r,
Location and Nature of Proposed Electrical Work: /11 ( y t S p Ir t. Ite-fr cat 0 UI--I - '
t a d ri coq r-e.c.esstd I i gtits ,
VI Completion of the fallowing table may be waived by the Inspector of Wires.
411
t.4; No.of Recessed Luminaires gi No.of Ceil.-Susp.(Paddle)Fans No.of Total
Q Transformers KVA
No.of Luminaire Outlets 72. No.of Hot Tubs 0 Generators
KVA
r^ Above In- No.o mergency Lighting
No.of Luminaires swimming Pool glove
❑ grndP ❑ BMA nits
`? No.of Receptacle Outlets ft No.of Oil Burners U es , No.of Zones I
No.of Switches �0 No,of Gas Burners 0 '4.,r ;e /
t No.of Air Cond. Total .�„ IhZ.34,
No.of Ranges ( TonsHeat Pump Number Tons KW No.o e I , •No.of Waste Disposers Totals: Detection/ "�i W P.
No.of Dishwashers 0 Space/Area Heating KW lAwal 0 Conne . ' s
6" No.of Dryers
Heating Appliances KW Security Systems
INo.of Devices or Ent
(.4.111
No.of Water , No.of No.of Data Wiring:
(I3ite Heaters Signs Ballasts No.of Devices or uivalent
No.Hydromassage Bathtubs Q No.of Motors Total HP a ecommunlcat3ons lag:No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
�
Estimated Value of Electrical Work: dt 2—I (When required by municipal policy.)
Work to Start: 4 5 pi-P 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 0 BOND 0 OTHER ❑ (Specify:) /7 6 al 0 W n-eies
f certify,under the pains and penalties of perjury,that info tion on this application istrueand complete.
FIRM NAME UV (e VI -gUv6(peo LIC.NO.:
Licensee: Signature LIC.NO.:
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 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. 1 am the(check one)[]owner ❑owner's agent.
Owner/Agent,yy/ Telephone Nob/7 _9&& - PERMIT FEE:$ 7S i 00
Signature �//t a f c
•YAR TOWN OF YARMOUTH
o‘ BUILDING DEPARTMENT
0 ; 0tt. . y 1146 Route 28, South Yarmouth, MA 02664
N •
M «� 44' 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(ayarmouth.ma.us
November 3,2020
Paul Ruscito
1024 Metropolitan Avenue
Milton,MA 02186
Location: 40 Rainbow Road, West Yarmouth
Permit Number: BLDE-21-000629
Dear Paul;
The above noted location inspection failed to pass for the reason(s) listed.
Article 210-8(A) GFCI Circuit breakers
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