HomeMy WebLinkAboutE-18-5791 ..,f
'w kG) 4 Commonwealth of Official Use Only
I Massachusetts Permit No. BLDE-18-005791
wstBOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.I/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 INFORM4TION) Date:4/19/2018
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) 282 SOUTH SEA AVE
Owner or Tenant DEBORN ENTERPRISES INC e ephone No.
Owner's Address P 0 BOX 161,SOUTH EASTON,MA 02375
Is this permit in conjunction with a building permit? Yes ❑ 'o ❑ (Check Appropriate Box,
Purpose of Building Utility A horization No. '2.--1.45 7 t,1y g t)
Existing Service Amps Volts Overhead 0 dgrd 0 No.of Meters (.9 1
New Service Amps Volts Overhead 0 U rd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New residence.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 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 0 In- 1:1No.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. Total No.of Alerting Devices •
Tons
No.of\Vaste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Beating KW Local ❑ Municipal ❑ Other:
Connection
Systems:*SecurityS
No.of Dryers Heating Appliances KW No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Ilydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail fdesired,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: Richard A Sass _
Licensee: Richard A Sass Signature LIC.NO.: 37062
(If applicable,enter"exempt"in the license number line.) Bus.TeL No.:
Address:4 JEAN CIR, RANDOLPH MA 023684311 Alt.TeL No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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: $230.00
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•/Jcperirm ri D JLV Scrrikc1 •BOARD OF FIRE PREVENTION REGULATIONS -Rev.
and Fee Checked
Rev. 1/07j (leave blank-) —
APPLICATION FOR•PERMIT TO PERFORM ELECTRICAL WORK
All work to be pe formed in accordance wit the Massachusetts Electrical Cod:(1M42C),527 C1vR iIDo
PLEASE PRINT IN MK OR TYPE ALL LVFOR ATIONJ Date:
City or Topa of: YARMOUTH To the Inspector of wires:
By this application the pndelyigned gives notice of his or her intention to perffom the electrical work described below.
Location (Street&Number) 2 , Se,c....7% 5e — .--cr
OwnerorTenant /7
Owner's Address 42,6--- �— Telephone No. S/J 7c
�i�Glilr�! lY1Gs"
Is this permit in conjunction with a but? i a �-7 �r'
�permit. Yes o 0 (Check Appropriate Boz)
Purpose of Building ,..5/, /e' —7e/'��/ ,% ago y
p � Stp Authorization No,
Ezisdn;Service_ Amps / Volts Overhead 0. Dndgrd❑ No.of Meters _
New Service 0 ,*11. Amps /gyp/2-5VVoft Overhead
❑' IIndgrd L.----Thti. of Meters
liainber of Feeders and Ampstdtp
Location and Nztnre of Proposed Meet-Eel Work:
—7v T/o/J'7� �i ��_ 51
No.of RecessedCorn, of the following table nr_-y be waved by the Irrpwjor or'Firm
Lnn:rtet-s INo. of Csl-Snsp.(Paddle)Fans IN¢Ta.asofiormers
/VII
1i'
No.of Lnminarre Octet INo.of Hot Tubs
Generators • ?•,'VA '
Na.• of Ltzmiaairs ISvrim",:ng Pool Ally? 0 In- 0 lvo.or amer;enry lag
•
—
t end. ern d. (Batten Units
No. of Receptacle Outlets No.of OE Barters (FMS ALARMS No.of Loney
Na.of Switches INo. of Gas Burners No.of De`.e on and
Initiatre Devices
No.of Ranges INo_ of Air Cond. Total
Tons IND.of Alercmg Devices
No.of Waste Disposers _ IHeatP¢ap (Number ITotss 1K-F1 IN n,of SContained
Totals: I De on/ell-Altsfino Devir�
No.of Dishwashers ISpace/Area Hastiag KW Local 0 Municipal
Connecoon ❑ ?
No.of Dryers Inciting Appliances KW Security Systerasar
No.of Water No.of Devices or Equivalent
Heaters KWNo. of No.of Data Wn ing
Signs Ballasts No.of Devices or
No. Hydromassage Bathtubs Wirt -Equivalent
g No. of Motors Total HP
Telecommunications Wtrin :
No.of Devices or Equival>_nt
OTHER
•
•
Attach additional detail pr desired or r required by the Inspector of Wirer,
Estimated Value of Electrical Work.: /,2 € 'o (When
requiredmunicipal policy.)to Smart Inspections
to be requested in accordance with MEC Rile 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue Sees
the licensee provides proof of liability insurance inch sling"completed operation" coverage or it substantial equivalent The
undersigned ceriifes that such coverage is in force,and has exhibited proof of same to the permit issuing once.
CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify.)
I certify, strider the.airtr and pert¢faey of perjury,that the information on this applic t ion is true and complete
FIRM NAME: �i _ "we/ , ss- L-/. 40"e• LIC NO.:37062E
Licensee:e/22-7.4%.-44--S ca.--5-5Signature/r
(If applicable ter t"in theli TeL
NO.:
Address: °number Im') Bus.TeLNo.:�
j "Per M.O.L.c. 147,s.57-61,securitywork requiresAlt TeL No.
Department of Pu./ Safety"S"License: Lic.No.
- OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage Donnelly
required by law. By any signature
re
below,I hereby waive this quirement I ern the(check one owner o
wner/Agent � ❑ wner'sa
O
"I Signature Telephone No. I PERMIT FEE: $��
e:61 TOWN OF YARMOUTH
o BUILDING DEPARTMENT
o� y 1146 Route 28, South Yarmouth,MA 02664
k�.�.,.,.54508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott,Inspector of Wires
kelliottnvarm outh.ma.us
July 23,2018
Richard Sass
4 Jean Circle
Randolph,MA 02368-4311
RE: Barney Bornstein,282 South Sea Avenue.
Permit Number: BLDE-18-005791
Dear Richard;
The above noted location inspection failed to pass for the reason(s) listed.
Article 250-148 Continuity of equipment
grounding conductors.
Please forward the required re-inspection fee of eighty dollars (580.00) 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
/ etelt;Th(
K. Elliott,
Inspector of Wires