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HomeMy WebLinkAboutBlde-20-002834 Commonwealth of Official Use Only AIM' Massachusetts Permit No. BLDE-20-002834 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:11/15/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 26 NAUTICAL LN Owner or Tenant HEMMINGS JOHN R TR Telephone No. Owner's Address JANDJ RLTY TRUST,26 NAUTICAL LN, SOUTH YARMOUTH, MA 02664 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: Check residence for re-connection of service following disconnect by Eversource. 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. 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 ❑ 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: William H Allen Licensee: William H Allen Signature LIC.NO.: 13699 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 CAMMETT WAY, MARSTONS MLS MA 026481508 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. I PERMIT FEE: $50.00 I ct Wick eg- f O .IL,� Comnwnwsalg.o`Maddathuosliid Official Use Onlynl NI • ' rt c� Permit No. �©' `-�7 3 L( ~ i r, � )parfmsnt o f,}ire Serviced 11 :I.' Occupancy and Fee Checked E 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 C R 12.00 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: // / // Ib City or Town of: YARMOUTH To the Inspec or of ires: By this application the undersign gives notice f his or her intention to perform the electrical work described below. t''''5 Location(Street&Number) p (e Abilq/-r"1 .�„ Lam/ 14-reds-ta v-ry_ Owner or Tenant �`p1.(VJ tie rvt 1„.7,1 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) CI' Purpose of Building Utility Authorization No. b� Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters .1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters iNumber of Feeders and Ampacity 3 Location Nature of Proposed Electrical Work: Rai./4 r fee {-' t0>�/ „I g , /c L o calif yr./ 04 rer4g— Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpool 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 Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices 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 ❑ �� 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 l 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: 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 ,,Tundersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC OND ❑ OTHER ❑ (Specify:) I certify,under the pains allies of perjury,that t e'nformadon on this application is true and complete. FIRM NAME: .p I f /b4'I'� � �.P/`_ LIC.NO.: /3 _(J� Licensee: 4 .ri. Signature LIC.NO.: / 6 b (If applicable,Agtrr,:xxempt"iyh license num lin ` L Bus.Tel.No.;,, ear ?G.0 — ) ' - ',- Address: p- -) / /'v(4/AJ C,Qt4,•f /+ e-- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work req ires Department of Public Safety"S"License: Lic.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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ EVERSeURGE 484 Willow Street West Yarmouth,MA 02373 ENERGY Bernard Kellogg Revenue Assurance Specialist (508)790-6749 bernard.kellogg@eversource.com November 15, 2019 Town of Yarmouth Building Department Mr. Ken Elliott, Wiring Inspector 1146 Route 28 South Yarmouth, MA 02664 Re: 26 Nautical Lane, South Yarmouth, MA J.Hemmings Dear Mr. Elliott, During a recent inspection of Eversource's equipm :urce Field '`At"' . *Or personnel found a concerning situation regarding the r •Tner s e ec s ound was meter tampering and exterior damage to the residential meter socket. Eversource has notified the Customer of Record in writing to contact an electrical contractor to remedy the situation. The letter also stated that an electrical permit must be obtained and that the electrical work must be inspected and approved by the Town Wiring inspector. Thank you and please contact me if you have further questions. Sincerely, cgo-f ay7 Bernard Kellogg 0: 508-790-6749