HomeMy WebLinkAboutBlde-20-000323 ' Commonwealth of Official Use Only
c0Massachusetts
Permit No. BLDE-20-000323
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:7/19/2019
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) 28 VESPER LN
Owner or Tenant BENNETT BARBARA A(LIFE EST) Telephone No.
Owner's Address 28 VESPER LN,YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch -4
Purpose of Building Utility Authorization No �'
Existing Service Amps Volts Overhead 0 Undgrd 0 '' '"'''
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Complete gut&remodel.
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 ❑ 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
Initiatine 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/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 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 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: DOUGLAS S VELIE
Licensee: Douglas S Velie Signature LIC.NO.: 21245
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:6 SANDY MEADOW WAY, EASTHAM MA 026426104 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:$180.00 I
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Permit No.
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' Occupancy and Fee Checked
NI cv Ni..--'-' BOARD OF FIRE PREVENTION REGULATIONSRev 1/0
i o0 1 ' (leave blank)
! PLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK
z All work to be performed in accordance with the Massachusetts Electrical Code
I -� * C),527 CMR 12.00
WI • a : E PRINT IN INK OR TYPE ALL INFORMATION Date: 7 )ham1 .<94��` m City or Town of: YAR TOUTH To the I e or oWires:
`-- : .... application the undersigned gives noti of his or her intention to perform the electrical work described below.
Location (Street&Num) r) Z.b \jib . Lie
Owner or Tenant li!-ill
Owner's Address Y V C.2f. \
Is this permit in conjunction with a budding permit? Telephone No.
yes
No ❑ (Check Appropriate Boz)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑. Undgrd
❑ No.of Meters
New Service 2jpO Amps !f24) / `/b Volts Overhead❑ Undgrd (
No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: C12/Vl t. •
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceti.-Susp.(Paddle)Fans No.of Total
Transformers KVANo.of Luminaire Outlets No.of Hot Tubs Generators KVA
C; • No.of Luminaires Swimming Pool Above ❑ In- "Loa.of]emergency Lighting -
grad. ^end. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS [No.of Zones
4) No.of Switches No.of Gas Burners • No.of Detection and
No.of Ranges No.of Air Cond.
Total Initialing Devices
- i
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Loral❑ Municipal
cur Connection ❑ der
Old, No.of Dryers Heating Appliances , Security Systems
No.of Water No.of No.of Devices or Equivalent
`� Heaters ' No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: -
OTHER: No.of Devices or Equivalent _
r. l
Attach additional detail if desired or as required by the Inspector of Wirer.
, J 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.
-7 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 cov ge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 011 BOND ❑ OTHER 0 (S
"�• I certify, under the �t�')
p•ins�p ''I ofperjury that the information on this application is true and complete.
`t FIRM N• g v ,40-1,-
�U Licensee: ILO 5 vue- -
LIC.NO.: Z I. L
� IMIIIIIMI ignature A\ t��� •(If applicable, - ter "tempt"in the Ii ense number lin v- LIC.NO.: I j`� $
Address: I b y� ta,� ` Bus.Tel.No. vS 3 7-J t
Per M.G.L. c. 147,s. security57-61,FY � work requires Alt.TeL No.:
9u ent of Public Safety"S"License: Lic.No.
— OWNER'S INSURANCE WAIVER: 1 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)❑owner ❑owner's agent.
7 Owner/Agent
Signature
Telephone No. PERMIT FEE: $ / Qrv.-'
at-
TOWN OF YARMOUTH
- k0. BUILDING DEPARTMENT
7, e
o -,y4 1146 Route 28, South Yarmouth, MA 02664
;� "" ; .'E�$ 508-398-2231 ext. 1263 Fax 508-398-0836
% K. Elliott, Inspector of Wires
kelliott@varmouth.ma.us
November 20, 2019
Douglas Velie
6 Sandy Meadow Way
Eastham, MA 02642-6104
Location: 28 Vesper Lane, Yarmouth Port.
Permit Number: BLDE-20-000323
Dear Doug;
The above noted location inspection failed to pass for the reason(s) listed.
Article 314-20 Set back of devices to
boxes. (>1/4" of combustible material)
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