HomeMy WebLinkAboutBLDE-22-001378 Commonwealth of Official Use Only
. Massachusetts Permit No. BLDE-22-001378
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:9/9/2021
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) 21 WINTER ST
Owner or Tenant SMITH PATRICIA
Owner's Address 21 WINTER ST, YARMOUTH PORT, MA 02675-1247 Telephone No.
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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
Number of Feeders and Ampacity gNo.of Meters
Location and Nature of Proposed Electrical Work: Mini split 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
nd. ❑ g rnd. ❑ No.of Emergency Lighting
Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiatinu Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal
Connection 0 Other:
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
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:
OTHER:
No.of Devices or Equivalent
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:
Licensee: Nicholas McEloy Signature
LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22642
Address:31 Captain Carleton Road, Cotuit Ma 02635 Bus.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.:
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 I
,J/11. /0414G- .
(C24/
T e. A Cminon4vsatth 0/ir/aeeac/ucestte Official Use Only
2)epartinsnt o�glee Jsrutcse Permit No. �L?r
r
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
'�� (Rev. I/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME ),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE L INFORMATI ) Date: CY 0 2
City or Town of: t K Viet 0 To the Inspector o Wires:
By this application the undersigned giv notice of his or her intenti n to perform the electri al work described below.
Location(Street&Number) at l Pr e4 Q.t.!
Owner or Tenant c<,1"1�lpectr(CI� Telephone No.`'I� c+�v3 D� i• 64a 3
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No ?Q (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead 0 Undgrd❑ 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: W j(„e
Completion of thefollowingtable may be waived by the Inss ector of Wires,
No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ri In- No.of Emergency Lighting
grnd, grad. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tonnsi No.of Alerting Devices
No.of Waste Disposers Heat PumpNumber ns KW No.of Self-Contained
Totals:I }To 1 Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW LocalMunifelpar
0 Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of No.of Devices or Equivalent
Heaters
►' No.of Data Wiring:
Signs Ballasts No.of Devices or E quivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications�Wtrin :
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of El trical Work: 2 0- el) (When required by municipal policy.)
Work to Start: `O Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COV RA : 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 ins and enalties o pet)r PeC fy:)
FIRM NAME: 0 ry,that the information on this application is true and complete.
Licensee: LIC.No,: v?d, b _ 4
C r�I Signature LIC.NO.: �
(If applicable,enter tpt"i the licens tuber li e.
Address: 3Srf LICK'Hilino ccti 4d. t ,s-lpyis kit its �(R �.?fi If( Bus.Let.No,• -g
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: AIL 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/Agent owner's a cat.
Signature
Telephone No. PERMIT FEE:$ :Z.n 'en)
To: Nick McElroy
office@capecodelectrician.com
From: Al Pulley,Asst. Wiring Inspector
Date: October 15, 2021
Re: 21 Winter St.
BLDE-22-001378
Mr. McElroy,
Per my inspection, the receptacle required by A210.63 must be located within 25 feet of the AC
condenser. Additionally, the bell box mounted below the condenser disconnecting means must be
securely fastened to the structure and not soley rely on the electrical nipple between the two
enclosures per A110.3(B), A110.13(A) and A314.23.
Please forward the required re-inspection fee of eighty dollars ($80.00)to this office and advise when
the corrections have been made and/or when access may be gained to the property for reinsertion.