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Home My WebLink AboutBLDE-18-002153 • Commonwealth of Oficial Use Only CS) Massachusetts Permit No. BLDE-18-002153 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 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:10/11/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 50 WHISTLER LN Owner or Tenant TOLLEY ROBERT D Telephone No. Owner's Address TOLLEY DEENA P,50 WHISTLER LN,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Receptacle for livingroom fireplace. Completion of the following table ay 4• by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No,of < ,'�' Total Transfor V KVA No.of Luminaire Outlets No.of Hot Tubs Generators //��))((VA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency /,}'I/� grnd. grnd. Batters,Units ///�``��(�-�`��////D No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.o <pe t) < No.of Switches No.of Gas Burners No.of Detection and At ///'� Initiating Devices to No.of Ranges No,of Air Cond. .Total No.of Alerting Devices i ons No.of Waste Disposers heat Pump Number Tons KW_ _,No,of Self-Contained 7/ 6. Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 OTIIER: Attach additional detail rf 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: Jonathan R Hall Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD,MARSTONS MLS MA 026481585 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 cit at- - 12Ets0 /0fit 7t,17 err • arnorLonalealg of///a35aC ¢�S _ ci,3 T.ise On /� w A --6 V • c7 PamitN.- --6 `_�JJ �� JJcparLrienE"i.�i...�crvic<.r r J ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS • lro77 ' (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance wit the Massachusetts Elcctical Code(MEC),527 CMR IZOD (PLEASE PRINT ININKORTYPE ALL LVF'ORM4TT0?V Date: I01/I 111 City or Town of: YARMOUTH To the Inspector of ires: By this application theµndersivoed gives notice of his or her intention to perform the electrical work described below. • Location (Street&Number) SO (4t 5,..k." LA/ .Owner*or Tenant Robe —Coat Telephone No:7)/ .,-R Owner's Address a) (..Jkm‘3\� WV' s Is this permit in conjunction with a building permit? Yes E No ❑ (Check Appropriate Bar) Purpose of Bolding Q0 Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters __ New ServiceAmps / Volts Overhead❑ Undg,rd❑ No.of Meters I NumbA Number of Feeders and mparity • ta Iz Location and Nature of Proposed Electrical Work u S qt.,.J ICry_cp FL icaw I " — --- --'- - - - ----._. _.: . - . . -. . Completion tithe following table may be waived by the Inspector of Free .-a Si No.of Reused Luminaires INC,of Cert sp.(Paddle)Fans No.of w IGener ot•mers FNA U U No. of Lamfaait-e Ottlets INC.of Hot Tubs IG-aerators ICVA ' O \I No. of Luminaires ISwimm,ngPoo! Above 1_1 In- ❑ INo.otmergencyl..za�huag grid. aurid_ BntretvIIttitr (t ' ,L2. No. of Receptacle Outlets No.of On Burners IF=ML4RMs No.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Iai@athow Dews No. of Ranges INC.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers (Heat Pump I Number Tons KW No.of Self-Contained Totals: Deteetion/Afertine Devices No. of Dishwashers ;Space/Area Heating KW' LoralMunicipal O Connection 0 Other No.of Dryers (Heating Appliances KW Security Systems:*Devkes No.of Water INo.of No.of Data°R°f or Equivalent irin • Heaters SiQnS Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs !No.of Motors Total HP Telecommnmeanons Wiring: No.of Devices or Equivalent OTHER: • • Attach additional detail if derired oras required by the Inspector of Wires. Estimated Value of Electrical Work Goa (When required by municipal policy.) Work to Start 10 l Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 terrify, under the pains and penalties of perjury,chat the information on this application is true and complete, FIRM NAME: w `[QI 1 (_7alnc inn � LIC NO.: 1415-R Licensee: `` ' ' Signatures LIC.NO.: (If applicable grter -exxemptt m t'he license number line.) Bus.Tel.No:.CRR - i't Address: Co? CgMntl% til M/MS2krt t J `Per M.G.L.e. 147,s.57-61,securitywork requires ` Alt Lee.No.: OWNER'S INSURANCE thenrne s edosnorha et eLliabse. Lie.No. �t CE WAIVER I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. t Owner/Agent Signature Telephone No. I PEX1{TITFEE:$ 01.Y2042 TOWN OF YARMOUTH BUILDING DEPARTMENT pl• —y 1146 Route 28, South Yarmouth,MA 02664 F nwrr� n u �' g; 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a varmouth.ma.us October 18,2017 Jonathan Hall 263 Cammett Road Marstons Mills,MA 02648-1585 RE: Bob Tolley,50 Whistler Lane,Yarmouth Port Permit Number: BLDE-18-002153 Dear Jonathan; The above noted location inspection failed to pass for the reason(s) listed. Article 210-12 (D) Arc fault protection required. 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