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HomeMy WebLinkAboutBLDE-21-005516 ' Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005516 '`� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS p y [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:3/25/2021 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) 41 HEATHER LN 19 13,S (p Owner or Tenant Stingray Realty Trust Teleph a 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 service, relocate range, dishwasher, &add receptacles. 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- I: 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Data Wiring: Heaters Signs Ballasts 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Robert C Silverberg Licensee: Robert C Silverberg Signature LIC.NO.: 12216 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 445, WEST WAREHAM MA 025760445 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 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 / ,i 3/ ,41 ie 9 7) Cit4- �� iA 230,_,1C v t-vv \, ft' kf 64/14 0 fatfid bP4)1 4 P/ iSt l g,-0t,', f ! ) Lk 44 i2V/k— (i/(Z'tI Commonwealth o j/aeeacivasift Official Use Only = e2( -7J((p P-AM Permit No. z 7+,-.' 2 spartmsni o/ ire Service m 1,L Sa' Occupancy and Fee Checked - 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 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 -,3 oZ/ City or Town of: rt iL,Pi Qv 771 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) // g f I t 1 L sk- T, Owner or Tenant 5 T/wt,.-l- y J�7 1`y TA.J j Telephone No. Owner's Address `.J Is this permit in conjunction with a building per it? Yes n No Z (Check Appropriate Box) ' Purpose of Building 3/Hlb-'(-t FIT 01(Ly k; ,:..in;i- Utility Authorization No. U � Existing Service )vC Amps l ZD I k(t�o Volts Overhead Undgrd E No.of Meters i )` New Service /Q v Z�Amps ( '/ /4 T v Volts Overhead E Undgrd No.of Meters I vi ,t'`''I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: &d 'Crt(C t5/ 3 f/w`y- 60(yl LE rw 60J).' t 13,,Pal3 s,' D')tl iv 4-3 0 „I,( 4 K i ice /ltl t iZ Et©c?TT- 4 r1,v-G-t=Y A4(C/i a,✓'T v 3 %'-v- VICompletion of the following table may be waived by the Inspector of Wires. lb No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.of Total Z. P Transformers KVA L1 Na.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- `No.of Emergency Lighting ' No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ ,Battery Units 1 J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. InitialinnggnDeteon and Devices Ili 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 P Totals: Detection/Alerting Devices No.of Dishwashers r Space/Area HeatingKW Local❑ Municipal ❑ (lamer P Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KWSigns Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeiceor qui al Y g No.of Devices 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: 3 --2Z -2, 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 Eil 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: 6 it_v tt po- C urcrrCI C C.) LIC.NO.: ! ( 2 Z((p Licensee: 4,3947- Sli-tiTii C.3r14-- Signature ---7(,'‘fetLCJ LIC.NO.: e2 9 3 (If applicable,enter "exemRt"in the license number line.) Bus.Tel.No.: 7u 8- 7 a,29a i Address: t' ,le) , r7^ul( '{C(� (J), l....)t4&/ay di, I'I(4 O 2 S 2cc 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)❑owner 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. I II s .-..�...— �. _ -.« .. .`.. a A - .:T.y 't� ?`. F#'.) .1 t i'7 F r-. Ra t N v y v > ) .A3 :1 1 _, 'a V' t,Tp*:1�aa , F, r • ''41,31 r v 1.11.t ? r_. a•, ......, T' _ ..r ate. , , , 1.2 2 , y .. . .- f c.i .. - - _ - . .. - , '� 1 , �f4t �: - _ n - . , l ''70R !ta7°$'1f 'ad!C . 'i" - , ,. I. iP 1,4, 1i i tS?y,C{doh i; ' w.._ C f}. ''fit.'-,{'slC -- : -,, ar,s t%ri "tz vf't-i f .fa'a•,t,: ''i-£.. -'., 'ts^s .:' .. + , n s. .;�t.;>5:;:-t4',,$ — • 11 -*; R ri.--...r:_. 'S.- a; v -IN,', - ,i,, s ?!:' :6'ti.5 fi` ,FeA� i.ariAatg''''I.xs ._i lc, t/ # -, i el'.:-. fie , .r,,n 4.? t1'; ' ,• .9V. . t .,. .v. {r• _ mac 1. • ,,t .y,Verl':n1 sV,i, �` �.1K,%' # -_.. . _._ .��`of x'F� 19, ! i1&d f E 'r Y_� if y , 1 . r0 :is $L 3 r 'lop.i x +': .,r".4f'kx."''7 Ii.+ .?j, ' _:'*'y it,1_',, '!'.ia: , . "•, . ':k '. is 'r . � ,•i • - .- _ s _%Fr - - ,14.' .`tit _ u4 .. :9: ..,, o�''�RR TOWN OF YARMOUTH ,�� - o BUILDING DEPARTMENT of -y 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1263 Fax 508-398-0836 - :• K. Elliott, Inspector of Wires kelliott(a yarmouth.ma.us March 31, 2021 Robert Silverberg P. O. Box: 445 West Wareham, MA 02576-0445 Location: 41 Heather Lane, Yarmouth Port Permit Number: BLDE-21-5516 Dear Robert; The above noted location inspection failed to pass for the reason(s) listed. Article 210-12 Arc Fault required Article 230-54-C Weatherhead above point of attachment. Article 406-4-D-5 Arc fault 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 .4"t---) f''ER TOWN OF YARMOUTH . o BUILDING DEPARTMENT r: 'oy 1146 Route 28, South Yarmouth, MA 02664 F' MATTAM c- 508-398-2231 ext. 1263 Fax 508-398-0836 :::.• K. Elliott, Inspector of Wires kelliott(avarmouth.ma.us April 13, 2021 Robert Silverberg P. O. Box: 445 West Wareham, MA 02576-0445 Location: 41 Heather Lane, Yarmouth Port Permit Number: BLDE-21-005516 Dear Robert; The above noted location inspection failed to pass for the reason(s) listed. Article 422-5 Appliances to be GFCI protected. 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