HomeMy WebLinkAboutBLDE-22-000182 Commonwealth of
Official Use Only
_ Massachusetts Permit No. BLDE-22-000182
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:7/12/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to performelectrical work scribed below.
Location(Street&Number) 15 WEBSTER RD Aut., t'U
Owner or Tenant Telephone No.
Owner's Address T - - --- , • -..r _:a, .._ �:�4 •
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. 6156167
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service.
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
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. 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 ❑ Municipal ❑ 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: BENJAMIN NARDI
Licensee: Benjamin Nardi Signature LIC.NO.: 50435
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:35 GREAT WIND DR, PLYMOUTH MA 023602778 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
— s'bw r'.r►t.hr7j Di iD -G-r rv.27.1 c. edhi
efrL(jit L4
1.4/41 T� /3d A!!d✓f PO4.
v Permit No. �F✓C
- -'3 �' �1Jc�sfJatfinertl O{..i`irs...cervices;' Occupancy and Fee Checked
,^" "` __
4' BOARD OF FIRE PREVENTION REGULATIONS [Rev.i/071 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME-C).527 CMR 12.00 21.
(PLEASE PRINT IN INK OR TYPE ALL INFORM TION) Date: -3 1 1 2. 2-0
To the Inspector f Wires:
} City or Town of•, Iy-az/Vim nom, P
By this application the undersign gives notice of ' or ex intention to the electrical ork described below.
Location(Street&Number /3 we 1-7 S it r
Telephone No.77 ��2a ,----)3
Owner or Tenant dt c) 1 Cir ‘,it 9--.
Owner's Address
Is this permit in conjunction witlra brlding permit? Yes No 0 (Check Appropriate Box)
Purpose of Building �� ( G(iyV G & Utility A;. t rizalion No. C/,5----‘0' 1( 7
Existing Service 2-VN Amps ')24,/2-cl0Volts Overhead ►' ndgrd 0 No.of Meters
k
`- �New Service 3 Amps (2 /2`I CVolts Overhead j Undgrd 0 No.of Meters I
,
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: `( f)4/_ e 2 'V`) 4,,,,)Q i (2/ t/+ c _C—
s ; Completion of the following#able may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Lunminaires No.of Cell-Sasp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.ofHot Tabs Generators KVA
;b;
Above No.of Emergency Lighting
No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units
`---` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
4
. No.of Switches No.of Gas Burners No.Initiatingof D
and
� evices
.i No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump Number.Tons KW No.of SeCoutaiaed
No.of Waste Disposers Totals: Detection/Alertin&Devices
Miclpal
No.of Dishwashers Space/Area Heating KW 0 ConAnAecidon 0 Other
No.of Dryers Heating Appliances IOW No.of Security Systems:*.
Devices stems•*or Equivalent
No.of WitterNo.of No.of Data Wiring:
HeatersKms' s Ballasts No.of Devices
or univalent
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: 7.457-1 1 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 cov a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE J BOND 0 OTHER Q (Specify:)
I certify,under the pains and penaWes of perjury,that the infvrmnlfon on this fraction is true and complete.
FIRM NAME: _ LIC.NO.:
Licensee: Ven 1 A M c 1 VG J` j( Signature /7LIC.NO.: ESC) .5
(If applicable,enter'' ..empt"in the license number line) Bus.Tel.No: ' AMIel `I .
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. I am the(check one)0 owner ❑owner's agent
Owner/Agent PERMIT FEE: -5 l7
Signature Telephone No.
,..,.. w _— — --___.1
i
F._..tee...«." .....,r
;:.6-i•Y'9RTOWN OF YARMOUTH
...' ,11.1000-\\ BUILDING DEPARTMENT
(p -
t�` +y. 1146 Route 28, South Yarmouth, MA 02664
e� M<o o It 4. 508-398-2231 ext. 1263 Fax 508-398-0836
:i:; ,...: K. Elliott, Inspector of Wires
kelliott(&,varmouth.ma.us
August 5, 2021
Benjamin Nardi
PO Box 316
Sagamore Beach, MA 02562
RE: Permit Number BLDE-22-000182
Dear Mr. Nardi;
The above noted location inspection failed to pass for the reason(s) listed below.
• A230.54(C)—Service head to be located above the P.O.A.
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