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Home My WebLink AboutBLDE-22-001322 A Commonwealth of Official Use Only`� Massachusetts Permit No. BLDE-22-001322 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:9/7/2021 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 beton G � �7 ' Location(Street&Number) 115 WEST YARMOUTH RD / q5.0 Z- Owner or Tenant Jaclyn Kotowski 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: Replace panel&HVAC system. 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: JOSEPH V SLOWEY Licensee: Joseph V Slowey .ko Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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 7-? 61.)P-C--(.9 . q(2 u (1-30 47 SurlaP. Oervertov ) q/u wok wWP Li1Ti - RECEI_VF_ D -' SEP 0 710210 o/Maloackaatffd Official22 (✓ ,.. ii iF c� Permit No. 4a ,LUlh•.G ULNAR 1 M R •^ , o ..tiatir&fulcra Occupancy and Fee Checked r: :. -REV NTION REGUI ATIONS (Rev. 11fl7] (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: ?- 3 • 20a/ City or Town of: a r tr o 0-T 1-4 To the Inspector of Wires: 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. W Location(Street dui Number) {16 w.`t'a r rn o Ln T H R d. 't.J e S T \in r rn o A T N uo J Owner or Tenant c a e 1,y 11 I O*O w 5.C i Telephone No. SI 4,f 3 7 4,. 4/58Z Owner's Address o Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) '' Purpose of Building ReS t ci e r1 C'e- Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 4). rimService Amps / Volts Overhead 0 Undgrd 0 No.of Meters 7'° Number of Feeders and Ampadty Locationand Nature of Proposed Electrical Work: (e e leo e elec. Pane 1 /uIr n ea.J -cur 114:20 C. v wire. A /c condenser Completion of the followin tableme9 be waived by the Inpector of Wires. o.of Total No.of Recessed Luminaires No.of Ceti.-Snip.(Paddle)Fans Transforanera KVA C. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ 'Ivo.of Emergency Lighting it grad. grad Battery Units . No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches O.of Gas Burners Initiating Devices To I V No.of Ranges No.of Air Cond. Tons No.of Alerting Devices ,� No.of Waste Disposers Totals: Pump Numb Tons ..... KW So.oTSelf- ontained DetectitonlAlerting`Devices No.of Dishwashers Space/Area Heating KW Local 0 Conni e 0 Other Appliances Security 5y stems:4 No.of Dryers Heating KW No.of Devito or Equivalent No.of Water , Ni.of -lo.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W gi�gg: roNo.of Devices or Eq valent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work:$02,Sbo (When required by municipal policy.) Work to Start: ? 3,00„2i 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 gi. BOND 0 OTHER 0 (Specify:) I certify,under die pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: .J V S elec ce-LC 1 a r► LIC.NO.: Licensee: dee S to LVeci Signature pl7e LIC.NO.: ///8Yp/g'(If applicable,enter"exempt"in the-license number line) Bus.Tela No., t5D1f eak ad 't) Address: 14 f? M.O terc ou rte fittrie 'PI y flICkA , rTh. Oa 3(co Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work rec?uires 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)[]owner 0 owner's agent. Owner/Agent 1PERMIT FEE: Signature Telephone No. $5 — ,o�'YRR TOWN OF YARMOUTH • e BUILDING DEPARTMENT pi _ y 1146 Route 28, South Yarmouth, MA 02664 tA MATTA r, Esc 508-398-2231 ext. 1263 Fax 508-398-0836 `karronttoa'm G� K. Elliott, Inspector of Wires kelliota,varmouth.ma.us September 9,2021 Joseph Slowey 168 Watercourse Place Plymouth, MA 02360-3629 Location: 115 West Yarmouth Road, West Yarmouth Permit Number: BLDE-22-001322 Dear Joseph, The above noted location inspection failed to pass for the reason(s) listed. Article 230-67 Surge protection 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