HomeMy WebLinkAboutBlde-20-000496 -a (ccommonwealth of official Use Only
,. Permit No. BLDE-20-000496
11.0Massachusetts
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:7/29/2019
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) 9 WEST WOODS VILLAGE
Owner or Tenant DUVALL EDWIN D Telephone No.
Owner's Address DUVALL MARY F,3331 RIVIERA LAKES CT,BONITA SPRINGS, FL 34134
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 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: Replacement HVAC.
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- ❑ 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 1 No.of Detection and
Initiative 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/Alertinc 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.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: Gary L Gordon
Licensee: Gary L Gordon Signature LIC.NO.: 15290
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$50.00
,,o,_ ef4cce cce.,
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ct/6(c 9 6GI/2atb gi �.Col- 514-00 p �c <404 fG� P � l
Commonwealth of Massacr tts :• Official Use ly
��-= Apartment ol.}-tre Services Permit N -=J
k— Occupancy and Fee Checked
— BOARD OF FIRE PREVENTION REGULATIONS jRev. 1/07J ----
(leave blank)
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code
N-\A
M(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (t+ c 27 12.00
9-9 City or Town of: YAROUTH ��
To the Inspec or of zres_
By this application the pnclersigned gives notice of his or her intention to rform the electrical wor. . scribed below.
Location(Street&Number) ✓s(�c14
tpk.,1"-
Owner or Tenant ��IM /9 U V't elephone No. .. 77.e
Owner's Address Ste_ -.716-- 877
Is this permit in conjunctio with a uilding permit? Yes
❑ No e (Check Appr ' to Box)
kPurpose of Building Utility Authorization No. --
Existing Service O O Amps / Volts Overhead ��
�.� ❑. Uadgrd ,� No,of Meters
New Service Amps
Number of Feeders and Ampacity / Volts Overhead❑ rdg Und ❑ No,of Meters ,
Pew. `�oadJe r A c s 4�
Location and Nature of Proposed Electrical Work: ��
K LI Q.e— Al2 pi l P- e.
S. Completion of the followin le 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 ❑ In- ❑ No.of Emergency Lighting -
grnd. grnd Battery units
No.of Receptacle Outlets No.of 0H1 Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas BurnersTotal
No.of Detection and
Initiating Devices
No.of Ranges No. of Air Cond. Tons No,of Alerting Devices
4 No.of Waste Disposers Heat Pump 1 Number Tons H KW No,of Self-Contained
Totals:I Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal -
Connection
0 Other
® No.of Dryers Heating Appliances , Security Systems:*
No.of Water No. of No.of Devices or Equivalent
J Heaters KW No. of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
i OTHER:
No.of Devices or Equivalent
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of lectrical Work: (When required by municipal policy.)
Work to Start: �7' lope 'ons to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C VE GE: 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.
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. The
`4 CHECK ONE: INSURANCE 9117 BOND 0 OTHER ❑ (Specify:)
I certify, under the pains and Amities ofperju ,that the information this application is true and complete.
FIRM NAME: mad �'t$ �,c
v � LIC.NO.: Q pe
Licensee: ' , f'feh .0'ye. Signature
(If applicable,enter "ese "in �license number tyre) LIC.No.:
. Address 1./ ��, _n � Bus.Tel.
Per M.G.L. c. 147,s. -61,securitywork re / •• Alt.TeL No.: ' Jim"/ YI r
quir4 Department of Public Safety"S"License: Lic. No. W�' .
„zz-
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— orm�
S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner ❑owner's a ent
Owner/Agent
1-4 Signature
Telephone No. PERMIT FEE: $
, 'Y`9R TOWN OF YARMOUTH
e- ' o BUILDING DEPARTMENT
o . . y 1146 Route 28, South Yarmouth, MA 02664
%)*a.b..,,s`� 508-398-2231 ext. 1263 Fax 508-398-0836
�a'
K. Elliott, Inspector of Wires
kelliott(a�varmouth.ma.us
September 5, 2019
Gary Gordon
Gordon & Sons Electric, Inc.
37 Billingsgate Drive
Dennis,MA 02638-2234
Location: 9 West Woods Village, Yarmouth Port
Permit Number: BLDE-20-000496
Dear Gary;
The above noted location inspection failed to pass for the reason(s) listed.
Article 110-3(B) Maximum size circuit
breaker 40 amps. (Present circuit
breaker 50 amps.)
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