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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