HomeMy WebLinkAboutBLDE-21-007437 Commonwealth of Official Use Only
,,. Massachusetts Permit No. BLDE-21-007437
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:6/22/2021
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) 127 RIVER ST
Owner or Tenant CHURCHILL W H JR TRS Telephone No.
Owner's Address BASS RIVER TRUST/C/O DIANA CHURCHILL, 243 PLEASANT ST, SOUTH YARMOUTH, MA 02664
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: Repairs to old BX wiring.
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. Total No.of Alerting Devices
Tons
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 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:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: DAVID W SPRINGER
Licensee: David W Springer Signature LIC.NO.: 21170
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:70 Bishops Ter, Hyannis MA 026012106 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 n qui, Telephone No. PERMIT FEE: $50.00
ir0�. Io/i1Z1
i7, P r, F. !, \,., — L4
•
JUN 2I2021 1 1 aa/`
g l.on nohwaaf h o/Mirddachudetid Official Use Only
l •`" vG DLPAk �� f
i r li'7- ,:, — — 2spartmani ot.7int Serviced Permit No.
-Y/_' << Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
`3
.J
' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ;� I z-\ Z
City or Town of: YARMOUTH To the Inspector o Wires:
r- y1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) I z 14- S t S Y0.f
N Owner or Tenant 1--;Tt; Chu nt\r\; \\ Telephone No.SOS ., (,5 73
Owner's Address
Is this permit in conjunction with a building ❑ No (Check Appropriate Box)
1 , Purpose of Building d.i�,-�A;(1 Utility Authorization No.❑ El Service Amps / Volts Overhead Undgrd No.of Meters
f. permit? Yes
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
t,
Number of Feeders and Ampacity
V Location and Nature of Proposed Electrical Work: (� r'c cc(�c u o
NA
vi ' Completion of the following table may be waived by the Inspector of Wires.
of No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total
o/ Transformers KVA
'Zi No.of Luminaire Outlets No.of Hot Tubs Generators KVA
<F No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grnd. grnd. ❑ Battery Units
�t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
`- No.of Switches No.of Gas Burners No.of Detection and
ota
t r Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals:I } Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingMunicipal
P KW Local❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
Heaters KW No.of No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Aydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail ifdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: S--0C) (When required by municipal policy.)
Work to Start: (f j Z1 '2-i 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 in ranee including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such cover is in force,and has exhibited proof of same to the permit issuing office.
su
CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: .W t 1.e�-1-C,-c, ,
� Q�� 6� LIC. Z.�� �L
Licensee: \o,,,, , s�I-C, ,per,( Signature LIC.NO.: \3 61 B
(If applicable,enter"hemI{t"in l'he ticg4e� number line.) Bus.Tel.No.- .Sc) ('k O\3cl
Address: 7 6 0,11 ix,S tsr. \ '1,A A. ) Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,4security work requir 's 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 ❑owner's agent.
Owner/Agent I
Signature Telephone No. I PERMIT FEE: $
June 21,2021
Churchill W H Jr Trs
Bas River Trust do Diana Churchill
243 Pleasant Street
South Yarmouth,MA 02664
To Whom It May Concern:
On Saturday,June 19,2021,I was called by the Yarmouth Fire Department as a result of their response to your property
located at 127 River Street in South Yarmouth for a structure fire.
Per 527 CMR 12.00,I am writing to you my findings during my visit to this property as a result thereto.
The following electrical-related issues were found and is/are required to be made safe:
1. A failed BX cable melted and overheated. Since it was in direct contact with wooden framing of the structure,the
resultant smoldering of the framing ensued. As the cable has been compromised and is no longer an acceptable
wiring method meeting the current requirements of the Massachusetts Electric Code(MEC)and/or product
standards of testing and listing laboratories. Therefore,it must be replaced(See image below).
All!
.4.40'444.
i , ",�;
ori
„jot 414r4110W44.41""140
4,1
K' YSpq
The following electrical-related issues were found,and is/are recommended to be made safe:
2. Other BX cable was found and is visibly compromised. This type of cable is no longer an acceptable wiring
method meeting the current requirements of the MEC and/or product standards of testing and listing laboratories. It
is recommended that as much of it as possible be replaced(See image B).
3. A smoke detector located in the basement within the vicinity of the compromised cable was not installed. This is a
life safety device,and the fire alarm system is intended to work properly with all of its components installed and
maintained.
4. The fire alarm control panel, located on the second floor,was not readily accessible nor labeled. Upon my visit,
tools were required to gain access to the panel. The wooden cover should be made to be easily and readily
removed,without the use of tools. The wooden cover should be labeled to give indication as to the equipment it
obscures.
.. Me•
1° � � . �*� �„^'` +lam•. .�
' +h
'tea
a <
c
,.
wwa'i',mvk "
z ,
:..: ..� ,? > , ':"f`. � °•"`fix? �,n:;_s
At the time of my visit,I removed the compromised circuit from its respective circuit breaker to prevent the it from
unintentionally or accidently being re-energized. Please have item I replaced and submit an application to perform
electrical work to the Building Department as soon as possible.
Regards,
AJ Pulley
Assistant Electrical Inspector
C: Bldg Dept
Fire Dept.
Health Dept.