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HomeMy WebLinkAboutBLDE-22-004387 � t ckz Commonwealth of Of use only fi. 44\ Massachusetts Permit No. BLDE-22-004387 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:2/8/2022 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) 7 OUT OF BOUNDS DR Owner or Tenant Peter Donovan Telephone No. Owner's Address 7 OUT OF BOUNDS DR, SOUTH YARMOUTH, MA 02664-2040 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: Bathroom Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Toot l No.of Alerting Devices ns 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 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Eauivalent • 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 4, 9/, 2,, .. CA-Diu rhunze- /ex? Pe& - tki4e Arm f) 1-1.C,M7X6 &rite, 41.1 7.2') &ta 8gw RECEIVED FEB 07 2022Co . saf of Mamdac tie Official Use Only R �, ` �2Z —4 7 Jo DINGDLHARTMLv .�'77 nn Permit No.. a taunt o .}irs Jsrvicsd 1 I Occupancy and Fee Checked '<,,4 .., 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) r✓L4. Owner or Tenant P r GITO/(CCd K )©J p Al/ Telephone No.G(y lB LV 994 3< Owner's Address 1 0 U T o F l�pi)A 1(�.S 11 IP t ii 1 Is this permit in conjunction with a building permit? Yes .Q No 0 (Check Appropriate Box) Purpose of Building R r}�p Utility Authorization No. Existing Service /(p- Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd'El No.of Meters Number of Feeders and Ampadty a Location and Nature of Proposed Electrical Work: 1 hrt 44 ito darn V, vl Completion of the following{table m be waived by the In vector of Wires. ��t she tit No.of Recessed Luminaires I No.of Ceil.-Susp.(Paddle)Fans No.or Total Transformers KVA c t No.of Luminaire Outlets 1 No.of Hot Tubs Generators KVA r�‘ Above ❑ In- ❑ No.of Emergency Lighting 4 No.of Luminaires Swimming Pool ttrnd. crud. Battery Units e` No.of Receptacle Outlets i No.of OB Burners FIRE ALARMS )No.of Zones "< No.of Switches 3 No.of Gas Burners *No.oThetectifon and t r Initiating Devices _ No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump I Number' 1 Tons 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:1 No.of WaterNo.of Devices or Equivalent Heaters 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 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 Stan: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 pedury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. Address: 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. y my ignature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Age pt PERMIT FEE:$ Signature Telephone 147 4y- -75-73 f of- i\ TOWN OF YARMOUTH ; o BUILDING DEPARTMENT off . y 1146 Route 28, South Yarmouth, MA 02664 " ;;o E;a 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a,yarmouth.ma.us March 1, 2022 Peter Donovan 7 Out of Bounds Drive South Yarmouth, MA 02664 Location: 7 Out of Bounds Drive Permit Number: BLDE-22-004387 Dear Peter, The above noted location inspection failed to pass for the reason(s) listed. Additional receptacle & 20 amp branch circuit required. Proper boxes for wall sconces & access to splice box. 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