HomeMy WebLinkAboutBLDE-22-000714 ..� Commonwealth of Official Use Only
'E. Massachusetts Permit No. BLDE-22-000714
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:8/9/2021
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) 43 COVE VIEW DR
Owner or Tenant SELLERS FRANCIS B TR Telephone No.
Owner's Address THE 43 COVE VIEW DR REAL ESTATE TRUST,43 COVE VIEW DR, SOUTH YAR �TH, MA 02664
Is this permit in conjunction with a building permit? Yes 0 No 0 (C ec 4WW1T. •to Box)
Purpose of Building Utility Authorization N
Existing Service Amps Volts Overhead 0 Undgrd • •44
New Service Amps Volts Overhead 0 Undgrd 0 I , i \ e'•r.
�� 0
Number of Feeders and Ampacity �``�
Location and Nature of Proposed Electrical Work: Central A/C system. d //�'
Completion of the following table m at h .ector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of otal
Transformers / VA
No.of Luminaire Outlets No.of Hot Tubs Generators 3 KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
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.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: ANDREW M LEVESQUE
Licensee: Andrew M Levesque Signature LW.NO.: 17318
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
Commonwealth a`9Vaadachudettd Official Use Only
0,_ !i c�r� Permit No. " - —tO 7 1 4,
— ,=:
e__0;= v Apartment el giro Serviced
E-f Occupancy and Fee Checked
,,s' 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 I2.00
(PLEASE PRINT IN INK OR TI' - 'ORMATION) Date: 8/2/2021
City or Town 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) 43 Cove View Drive
Owner or Tenant Francis Sellers Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building residential Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: wiring of Central AC system
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T of Total
Tr
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ ivo.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No.InDete and
Initiatinnggon Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
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❑ Municipnnection al El
Co
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KWNo.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydro massage Bathtubs No.of Motors Total HP TelecommunicationsNo.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: 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 lj BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Harwich Port Heating & Cooling, LLC LIC.NO.:17318A
Licensee: Andrew Levesque Signature LIC.No.:35976E
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:508-432-3959
Address: 461 Lower County Rd, Harwich Port, MA 020y+o 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. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent 50
Signature Telephone No. PERMIT FEE:$
** Please fax a copy back to us at 508-430-6075 **
or e-mail to: keciaAhphcllc.com
,- TOWN OF YARMOUTH
, -.4`.,. .. -,:;\
. • I, . 7)
BUILDING DEPARTMENT
o - : y VT.-3
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(&,varmouth.ma.us
September 14, 2021
Andrew Levesque
Harwich Port Heating & Cooling
461 Lower County Road
Harwich Port, MA 02646-1831
Location: 43 Cove View Drive, South Yarmouth
Permit Number: BLDE-22-000714
Dear Andy,
The above noted location inspection failed to pass for the reason(s) listed.
ID
Artic e 1 I -3( II ) Max size circ it
1 re , er allowe s 20 a I (3 I
i stalle • )
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