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Home My WebLink AboutBlde-18-007103 Commonwealth---A....: . , Official Use Only of Mt - , Massachusetts Permit No. BLDE-18-007103 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:6/14/2018 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) 43 CIRCUIT RD NORTH S1916 77f-4(24 Owner or Tenant KABURIS STEVE TRS Telephone No. Owner's Address KABURIS MARIE TRS,43 CIRCUIT RD NORTH,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check $ • $ 4,11 4 Purpose of Building Utility Authorization No. 4 Existing Service Amps Volts Overhead 0 Undgrd 0 �,'o $ e" a New Service Amps Volts Overhead 0 Undgrd 0 $ ti5 W ZINMP Number of Feeders and Ampacity V Location and Nature of Proposed Electrical Work: Replacement furnace la- ,1 Completion of the following table may be waived by I�, e' • , Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 'I i' Transformers 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 Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and In►tiating 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 ❑ 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: Richard 0 Holt Licensee: Richard 0 Holt Signature LIC.NO.: 31926 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 SHORT ST,MIDDLEBORO MA 023463015 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 d 4 /o/c/<8 C� AtG(i 3l < /iii'i Cemmoruvealth al///asaachudel Official Use ly im--_ c-� Permit No. l� - /Lfl3 ff1= ' Apartment of ire Serviced -!Kr=• Occupancy and Fee Checked V V '>- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/'y//e City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intgntipn to prform the electrical work described below. Location(Street&Number) !3 C/fL ei fi v,,1/4 1 Owner or Tenant 7'" etx k4 4„ Telephone No.sop;JP'yf�/ Owner's Address 0 Is this permit in conjunction with a building permit? Yes No // ❑ � (Check Appropriate Box) x� Purpose of Building If e f)e-m.,•�y Utility Authorization No. `�(_ Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters — J// New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters _____ .._ ._ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �' lel fJ�C 4.4r ►C 4./ l uvarcce acy E Completion of the following table may be waived by the Inspector of Wires. lip.of Recessed Luminaires No.of Cell.-Snsp.(Paddle)Fans No.ofTotal I KVA Lin I ,-- Transformers KVA -- NIL%of Luminaire Outlets No.of Hot Tubs Generators KVA of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting '3 grnd. grnd. Battery Units — a,,, j:. _ .of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 1 "" Ne.of Switches No.of Gas Burners No.of Detection and f Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number_ Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' ConnMunicipale Local❑Connection ❑ �No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: q 5-•�1` C/V Attach additional detail if desired or as required by the Inspector of Wires. ,� Estimated Value of Electri al Work: (When required by municipal policy.) V �� Work to Start: t! IG /1" Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical tncal work may issue unless %.1 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The V undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [lY BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAM : LIC.NO.: Licensee: Ns,116,_ a Z Signature LIC.NO. /`' 72- ... (If applicable,enter"exert"in the license number 1' e / Bus.Tel.No.: S0� . Address: S) S nor 47no"' 10�<,. " ' o .� Y� Z 4y�'��y Alt. a "Per M.G.L. C. 147,s.57-61,security work requires Department of Public Safety"S"License: `c. No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. 7 Owner/Agent al Signature Telephone No. • l PERMIT FEE: $ (� o Y`qR,� TOWN OF YARMOUTH o BUILDING DEPARTMENT of. ��' —iy 1146 Route 28, South Yarmouth, MA 02664 7;:CHC H $,:5/."� 508-398-2231 ext. 1263 Fax 508-398-0836 �" i45 `= K. Elliott, Inspector of Wires kelliott@yarmouth.ma.us June 19, 2019. Richard Holt 57 Short Street Middleboro, MA 02346-3015 Location: S. Kaburis, 43 Circuit Road North, Yarmouth Permit Number: BLDE-18-007103 Dear Richard, The above noted location inspection failed to pass for the reason(s) listed. Article 358-30 (A) Securely fastened conduit. 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