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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 ii2xNUt 711110 eZ 112C((i i 45uede g Ate(? 1 Cr tt(zz1tq iLnno 0 WAIL. onwow)/ wow) . Ct( Q -- (�ommonalecitsof//la�4ar tti , • Official Use Only �'— ' ment e-7.0 -03Z3 d—= [ ire Serviced Permit No. s�1 0 -- 5. ' 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