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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:$75.00 - /V2- �1.,f 146,6b1d-rivos 7(W' `"- T( C 4� `1' " C1 - ( D 1 t 1 C -- --Q R E Ie D Commonwealth o�///a�sachu�ett� Officiali Use Only / } = Z C"(2" Ck 7l c f !=f 2epartment No. `CC - _�'_- 'i'022 2epartmento/.Jire.Service$ 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