HomeMy WebLinkAboutBlde-20-001801 Commonwealth of Official Use Only
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E. ►�� Massachusetts
Permit No. B0LDE-20-001801
`C 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:10/2/2019
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) 77 LONG POND DR
Owner or Tenant RYONE ALLEN E Telephone No.
Owner's Address RYONE SHARON L, P 0 BOX 440, BREWSTER, MA 02631
Is this permit in conjunction with a building permit? Yes 0 No 0 e Box)
Purpose of Building Utility Authorization n
Existing Service 100 Amps Volts Overhead 0 Undgrd IL `` . . , '''"
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service&wire mini split systems.
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 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 2 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 Securi r 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,andjr pon 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 ❑ 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: Isaiah L Bassett
Licensee: Isaiah L Bassett Signature LIC.NO.: 40515
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: PO BOX 1362, BREWSTER MA 026317362 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 TelephoneT/ No. PERMIT FEE: $50.00
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1. ' e/ Permit No. ( \� 60
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Occupancy and Fee Checked
,.' 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(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /O/ f
City or Town of: \ii,',i/d Nil^ To the Inspector of Wires:
By this application the undersigned pges notice of his or her intention to perform the electrical work described below.
4' Location(Street do Number) 7, . ei P,id Dr.
p Owner or Tenant /e yt 7eYara P Telephone No.
Owner's Address ohei , 4/3i
Is this permit in conjuxtiovith a building permit? Yes Er No 0 (Check Ap ro riate Box)
Purpose of Building Limit( t vy Utility Authorization No. v Coo 2E)
Existing Service`1 i 0 Amps %24)/v7c Volts Overhead Er Undgrd 0 No.of Meters 1
vvOl} New Service Amps /s /14) Volts Overhead[r Undgrd 0 No.of Meters .-2
__RI Number of Feeders and Ampadty c2 oZ 00,3wlPS
_ ` Location and Nature of Proposed Electrical Work: OVey h se ellli C� C?Yidpp
Wr� Al Alf' � ��-}S � jGhe��'xir'l��t_f
Completion of the following table be waived by the! or of Wires.
4} �y �pect
No.of Recessed Luminaires No.of CeL.Susp.(Paddle)Fans No.of KVA
��,iTotal
Transformers KVA
8 No.of Luminaire OutletsNo.of Hot Tubs Generators KVA
Swimming pool �
Above In- ivo.of hmergency Lighting
No.of Luminaires � ❑ grnd ❑ Battery Units
'`. No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones
\ No.of Switches No.of Gas Burners No.In��DetDeviection
Totat
t�' No:wf Ranges No.of Air Cond. Tons No.of Alerting Devices
No.oi?Waste Disposers Heat Pump Number.,Tons KW ..._._'No.of Self-Contained
Totals: __ . ....._... _._,_..__... Detection/ADevicea
I� t--, No.of Dishwashers Space/Area Heating KW Local 0 Munnne" 0 Other
` ` ,�. No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
r- Heaters KW 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 desire4 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 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 Er BOND ❑ OTHER 0 (Specify:) Se•/tell k—
I certify,under detains and penalties ofperjury,that the information on this application is true and complete
FIRM NAME: �.�G Q 1g-SS{-rt- Rieatt i tr LIC.NO.: si S C
Licensee:. Signature%:::z„vs....._1—..1/4.........._..... LIC.NO.: C)S 5I..
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.ti -,2 20:1Y,
Address: Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
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)❑owner 0 owner's agent.
Owner/Agent I,
Signature Telephone No. PERMIT FEE:$ �tj(�---
•
TOWN OF YARMOUTH
BUILDING DEPARTMENT
o . . y 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a varmouth.ma.us
October 10,2019
Isaiah Bassett
P. O. Box 1362
Brewster,MA 02631-7362
Location: Allen Ryone, 77 Long Pond Drive, So. Yarmouth
Permit Number: BLDE-20-001801
Dear Isaiah;
The above noted location inspection failed to pass for the reason(s) listed.
Article 406-4 (D) Arc fault circuit
required.
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