HomeMy WebLinkAboutBLDE-23-005697 tj Commonwealth of Official Use Only
'�►, Permit No. BLDE-23-005697
fi' Massachusetts
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:4/13/2023
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) 503 ROUTE 28 UNIT 1
Owner or Tenant SUSAN McCLELLAN Telephone No.
Owner's Address
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: Corrections to unpermitted work done in the past.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 13 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 8 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 6 No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
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 Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Sins 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: Erik H Wilkinson
Licensee: Erik H Wilkinson Signature LIC.NO.: 21579
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 1765 DIAMOND HILL RD, CUMBERLAND RI 028645518 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: $250.00
6(,t4. .. 3 L —o Q c l - " ()(L Scl-F C.t C•t&t Tr C MS„ Mule r S H-G e`l,A sPdt
( �� '7.,J (..w..Nt ZL t S J $C- c,�vpy ce-��
RECEIVED
4 Official Use Only
•
1 2023 nwea o`�1'la�acat
= t cc77 Permit No. 3—S 7
�' 5 apartment o`..tire Services
- G DEPARTMENT Occupancy and Fee Checked
, '_,_:.e.i._._e._ RE 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: R °\Z.' 23
City or Town of: ygQrvN p vk To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to erform the electrical work described below.
Location(Street&Number) SO� �6Q y iv (kJ Z.i.
Owner or Tenant S1/43 V kcC.1e3\zi. Telephone No.
Owner's Address -j M411 Nsc (e 7?)
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building StXLC c.A'M 1 kx\ 1-HIM t. Utility Authorization No.
Existing Service ZOO Amps I ZAA /2$4o Volts Overhead® Undgrd❑ No.of Meters f
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: " se icj[ jk t
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires .1 No.of Ceil:Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Gas Burners No.of Detection and
No.of Switches Initiating Devices
Total No.of AlertingDevices
No.of Ranges No.of Air Cond. Tons
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers - Totals: Detection/Alerting Devices
Municipal
No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other
Heating Appliances KW Security Systems:*
No.of Dryers I No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work 1--Ca) Attach
required by municipal policy.)
Work to Start: Li • I Z ' 23 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 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 Si BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on his application is true and
LIC.complete.
NO.: S79 a
FIRM NAME: Signatur r'' ( LIC.NO.: 271 1?j
Licensee: l-Ei� W, V i MSCV\) g 1'i0 /.(If --
applicable, Bus.Tel.No.:&4 •biz .C
enter "exempt"in the license number line.) �Z Alt.Tel.No. h� 31 h 9S�(a
Address: ilt ' iAMcNrS \lil&_ 2® W-E2L 1)
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"Lice se: 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.I
Owner/Agent Telephone No. I PERMIT FEE: $
Signature
SCOPE OF WORK—503 RT 28
YARMOUTH MA
4/12/23
1. Removal and repair of unpermitted shoddy work,from failed attempt to split residence into
separate units to include:
-_of wiring for extra cooking appliances(ranges/microwaves)
-rewire of lighting (4 recessed) in front kitchenette room
-rewire of lighting (2 recessed) in foyer area
-rewire of lighting(1 recessed) at bottom of stairs
-_/rewire of 1st fl washer/dryer
-rewire of 1n fl kitchenette counter and room outlets
- / fig r /rewire of 2 subpanels(1 if not both will be removed)
-rewire of romex run through chimney chase (not allowed)
-swap out of non-listed breakers in main panel (different manufacturer)
2. Recessed lighting—as noted above, recessed lighting will be rewired with new IC rated wafer
lights 4-kitchenette 2-foyer 1-stairs 6-main living room
3. As noted above,outlets in kitchenette (wall outlets, counter outlets)will be rewired and brought
up to code (spacing,#of circuits)
4. Circuit breakers—AFC' GFCI and DFCI breakers will be installed as required by code for all new
and modified circuits.