HomeMy WebLinkAboutBLDE-21-003841 Commonwealth of Official Use Only
E�, Massachusetts Permit No. BLDE-21-003841
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IRev.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:1/11/2021
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) 61 EARLY RED BERRY LN
Owner or Tenant CLAPP CATHERINE F Telephone No.
Owner's Address 61 EARLY RED BERRY LN,YARMOUTH PORT,MA 02675-1904
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro. late Box)
Purpose of Building Utility Authorization No. a
Existing Service Amps Volts Overhead 0 Undgrd 0 o
New Service Amps Volts Overhead 0 Undgrd 0 C' f ',
Number of Feeders and Ampacity �vL j-'
Location and Nature of Proposed Electrical Work: Replacement HVAC. /i))At
Completion of the following table ma "uyn( s et, Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ' Al
Transformers ///
No.of Luminaire Outlets No.of Hot Tubs Generators
No.of Luminaires Swimming Pool Above ❑ 1 n- 0 No.of Emergency Lighting
grnd. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners 1 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 ❑ 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 Data Wiring:
Heaters 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 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: DANIEL J PECKHAM
Licensee: Daniel J Peckham Signature LIC.NO.: 26830
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:87 AUDREYS LN,MARSTONS MLS MA 026481629 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
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:$50.00
042401. 451( NO lecrp) ,I110174 etr-
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C,ommonwaath o/?aAlach.u.lalle Official Use Only
_b, c� c7 Permit No.
-*; 2epartmsnl o�.}ire Services
J.E.... a' Occupancy and Fee Checked
--�''." -%'` BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07]
'':,r,�:: (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(M C), 27 CMR 12.00
S
(PLEASE PRINT IN INK OR TYPE ALL INFORM TION) Date: /... q/i 17
City or Town of: yetiL;quo,,-,--1.�. To the Insp ctor of Wires:
By this application the undersigded gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) .';. 1 Fl`,i_Ly IN tea), .r„
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd U No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity J
Location and Nature of Proposed Electrical Work: ��e t>,c rlJr�ka-e --t / jC:- Ci,,n1_
Completion of the following_table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.roof KVA
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool�tnd. ❑ 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 Initiating Devices
al
No.of Ranges No.of Air Cond. Too No.of Alerting Devices
s
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Man iciiinect l ❑ Other
No.of Dryers Heating Appliances KW Security Systems:4
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.H dromass a Bathtubs No.of Motors Total HP Telecommunications Wong.
y � 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: 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 , BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: II �'' LIC.NO.:
Licensee:'b G,,‘„ .`r.,r ( ,� . e c. K- -�. Signature z= -dG LIC.NO.:A J (, -
(Ifapplicable.enter"exempt"in the license number line.) ,! Bus.Tel.No.:
Address:`;� 7 r1-t.,ia-r y t.,.,,- Ana 4_.s:p.-z-5 6-1.LL5 h1'4-, r)2,'/k Alt.Tel.No.:.-d -7?b-j-3c:%5
*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)El owner ❑owner's agent.
Owner/Agent PERMIT FEE: $
Signature _ Telephone No.
'cif ' .\
TOWN OF YARMUT�-
' '� ' �ti BUILDING DEPARTMENT
O 1 l -- y, 1146 Route 28, South Yarmouth, MA 02664
MATTACt1 tsE 508-398-2231 ext. 1263 Fax 508-398-0836
�� oAop.attD �.. r
---- _••- K. Elliott, Inspector of Wires
kelliott(&,yarmouth.ma.us
April 14, 2021
Daniel Peckham
87 Audrey's Lane
Marstons Mills, MA 02648-1629
Location: 61 Early Red Berry Lane, Yarmouth Port
Permit Number: BLDE-21-003841
Dear Dan;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-3 (B)
Wrong size circuit
breaker installed.
Receptacle Article 210 63 within 25 '
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