HomeMy WebLinkAboutBLDE-22-004715 Commonwealth of Official Use Only
�. , Massachusetts Permit No. BLDE-22-004715
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:2/25/2022
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) 9 CHILTON RD vA7; 2/ 3 1
Owner or Tenant MAZZAMARO PATRICK R Telephone No.
Owner's Address MAZZAMARO PHYLLIS, 128 STRATHMORE RD, MIDDLEBUIY,CT 06762
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: Remodel kitchen&bath room.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets 1 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 8 No.of Oil Burners FIRE ALARMS No.of Zones V'
No.of Switches 10 No.of Gas Burners No.of Detection and
6
Initiative 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/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other:
Connection
No.of Dryers 1 Heating Appliances KW Security Systems:*
No.of Devices or Euuivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Euuivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Euuivalent
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 ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Clint W Kelsall
Licensee: Clint W Kelsall Signature LIC.NO.: 28822
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 168 CEDAR ST,W BARNSTABLE MA 026681332 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:$75.00
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f !=f 2epartment No.
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B• R I OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked
I R T [Rev. 1/07] ( blank)
BUILDI �'�% NARTMENT leave
By -" ` ON 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: 02 •23 -2 p '-2,_
City or Town of: Y4je,of,(, 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) cil C,11/G-7-e�-
Owner or Tenant J j / A,{,4 T �4&A- ) I e ephone No. - (
Owner's Address 4 1 ty A Gc>A2 4- E>ci �G X3487
Is this permit in conjunction with a building permit? Yes yi No n (Check Appropriate Box)
Purpose of Building `vte..) ",e."- --, Utili Authorization No.
Existing Service MO Amps /Po/ ,""Volts Overhea• E Undgrd n No.of Meters
New Service Amps / Volts Overhead II Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Prop sed Electrical Work: QDJE,L ,^C=1 „ce-e_
c,20A Are c GIGO! G
• AuI,,rv�S4/
hi,G60er"-- -Pv41- r�,c47 'S Completion ofthe following table may be waived by the InspecfOr of Wires.
cNo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
o Transformers KVA _
' e Outlets No.of Hot Tubs
Generators KVA
le) No.of Luminaires Ia Swimming Pool Above In- No.of Emergency Lighting
grnd. ❑ grnd. ❑ Battery Units
6 No.of Receptacle Outlets U No.of Oil Burners FIRE ALARMS No.of Zones
/6) No.of Switches `6) No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges �� No.of Air Cond. Total
� Tons No.of Alerting Devices
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Devices
/ No.of Dishwashers Space/Area Heating KW 1 Local❑ Municipal ❑ Other
Connection
No.of Dryers C/ Heating Appliances KW Security Systems:*
/ No.of Devices or Equivalent
No.of WHeaters ater KW No.of No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or E uivalent
OTHER: 4G,--- G!i—C)/7 G.-'CLG CIA-C --/ jiiel� #.-61 T!
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Wo : ,am-tCe (When required by municipal policy.)
Work to Starke?-oI,2 o?D�. ncpections 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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjwy,that the information on this application is true and complete.
FIRM NAME: ,Cd j -...-- LIC.NO.:0,€ �-
Licensee:eels ! Signature LIC.NO.: 0 "'
(If applicable, ent "exe_mpt"in a license number line.) �s
Address: ` G�'� � [t-,. Bus.Tel No . •` •ls` d
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.L cl•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)El owner ❑owner's agent.
Owner/Agent
Signature Telephone No. ' PERMIT FEE: $ 26-.CCI I
o� Y9R TOWN OF YARMOUTH
r,-��, O BUILDING DEPARTMENT
N ' '� < 1146 Route 28, South Yarmouth,MA 02664
SG 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliottna,yarmouth.ma.us
March 3,2022
Clint Kelsall
168 Cedar Street
West Barnstable,MA 02668-1332
Location: 9 Chilton Road, West Yarmouth
Permit Number: BLDE-22-004715
Dear Clint,
The above noted location inspection failed to pass for the reason(s) listed.
Article 250-148 All grounding
conductors, within an enclosure, shall
be connected together.
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