HomeMy WebLinkAboutBLDE-18-002279 Commonwealth of Official Use Only
oe %to` Permit No. BLDE-18-002279
• iE) i 1 Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.l/07j
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:10/17/2017
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice or his or her intention to perform the elect,cal work deNdibe �
Location(Street&Number) 434 LONG POND DR t... rk2l ...>
Owner or Tenant WORKS K MARSHALL Telephone No.
Owner's Address PO BOX 324,COTUIT, MA 02635
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 ❑ Undgrd 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity A
Location and Nature of Proposed Electrical Work: Replacement burner p
Completion of the following e # s e Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofTotal
Transformers VA
No.of Luminaire Outlets No.of Hot Tubs Generators
No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Ligh 1 d 4
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zo //,��
No.of Switches No.of Gas Burners 1 No.of Detection and /U / /7s,.s,/
Initiating Devices \ / w
No.of Ranges No.of Air Cond. Tool No.of Alerting Devices
No.of Waste Disposers Iteat 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 Siens Ballasts No.of Devices or Equivalent
No.Ilydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTIIER:
Attach additional detail ifdesired 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: James J Reilly
Licensee: James J Reilly Signature LIC.NO.: 16666
(Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:14 NORFOLK AVE,SOUTH EASTON MA 023751907 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 Net ` PERMIT FEE:8200.00
6�fi- ( 0/02((-7 r-c ,,S% p.+lp45 yl, 6,0) �)
to er-r6 orAenr - fivir 4- aPo4r ) elnill 7 IcE
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Official Use Only
&t Commonwealth of Massachusetts Permit No. 6-22` 7
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Milt
' Department of Fire Services
'.'rite I' p Occupancy and Fee Checked
' . ''a BOARD OF FIRE PREVENTION REGULATIONS [Rev. (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 5.19.17
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) 434 LONG POND DRIVE,SY
Owner or Tenant FERRELL,JEAN Telephone No:
I
Owner's Address 434 LONG POND DRIVE,SOUTH YARMOUTH,MA 02664
Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box)
Purpose of Building RESIDENCE 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 BURNER REPLACEMENT
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 Luminarie 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 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 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 ifdesired,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 pro-
vides 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 X BOND 0 OTHER 0 (Specify) GFNERAI.ACCIDENT INS 7/3l/17
'Per M.G.L.c. 147,s 57-61,security work requires Department of Public Safety"S"License (Expiration Date)
I certify,under the pains and penalties of perfury,that the Information on this application is true and complete.
FIRM NAME: REILLY ELECTRICAL CONTRACTORS,INC /RR�EL�JC( `''�►
O/ LIC.NO.:
Licensee: TAMES I RFU y
T.Y Signature • r LIC.NO.:A 16666
(If applicable,enter "exempt"In the license number line.) Bus.Tel.No.: 508-771-2040
Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 Alt.Tel. 508-400-8936
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)0 owner 0 owner's agentFAX-508-760-1425
Owner/Agent
Signature Telephone No. PERMIT FEE: 'f.0o 4----
ot'Y`tk TOWN OF YARMOUTH
k. ' Xt. So BUILDING DEPARTMENT
� ¢—y` 1146 Route 28, South Yarmouth,MA 02664
acs^; ,;,,f d 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a�varmouth.ma.us
October 24,2017
Scott Ventura
Relco Electric
110 Old Townhouse Road
South Yarmouth,MA 02664
RE: 434 Long Pond Drive,South Yarmouth
Permit Number: BLDE-18-002279
Dear Scott;
The above noted location inspection failed to pass for the reason(s) listed.
Article 210-8(A)(5) G.F.C.I receptacle
required
Article 358-30(A) EMT to be supported &
secured.
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