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Home My WebLink AboutBLDE-20-004547 a' v\4/0 Commonwealth of Official Use Only E.�,'S Massachusetts Permit No. BLDE-20-004547 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:2/19/2020 City or Town of: YARMOUTH To the Inspector of Wir By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. ®,' 30 3- 76 e 3 Location(Street&Number) 37 ARTHUR LN Owner or Tenant OAKS CAROLYN •, -1 • • No. Owner's Address 135 AMHERST ST UNIT 5,AMHERST, NH 03031 Is this permit in conjunction with a building permit? Yes 0 No 6 R - . r #1 ' •date Box) Purpose of Building Utility Authorization A Existing Service Amps Volts Overhead 0 Undgrd 0 moo.of art.-1 New Service Amps Volts Overhead 0 Undgrd 0 No.of '. Om Number of Feeders and Ampacity i r Location and Nature of Proposed Electrical Work: Wiring for in-ground pool.(Up to 3 inspections) 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 • Transfor KVA No.of Luminaire Outlets No.of Hot Tubs Ge •ra 1 KVA No.of Luminaires Swimming Pool Above 0 In- ❑ N• t.' •r 1• > grnd. grnd. *l r No.of Receptacle Outlets No.of Oil Burners FIR o4?8,No.of Switches No.of Gas Burners No.of Detect ,n ay Initiatine Devices V No.of Ranges No.of Air Cond. Total No.of Alerting Devices 4 _ Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained _ Totals: Detection/Alertinzr 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 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 des s. Estimated Value of Electrical Work: (When required by municipal policy.) 4,.. 4...,, L Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon cot INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The unders 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: Julius Prizgintas Licensee: Julius Prizgintas Signature LIC.NO.: 20442 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:97 CHUCKLES WAY, MARSTONS MLS MA 026481583 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: $135.00 ft' nu i&i‘ qs`- #C UI➢"-Rsi2 earn- l/ter 1-4G-4,- 2 /zo e- PArtp GiLah.cfllN‘ 3424241 l --, 141 , S(20l— Ve / tL ,N/FL .- NJ rove Pid reit ro v vkrnw,t..J 924//242.0 Commonwealth o////aaaachaasita Official Use Only ,': ''t cc� nn Permit No. (� : 11 +"' 2)partmant o/�irs Jsrvicsa 111? 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: ... / /9/i C 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) 3 /9e TIf lle L 4/ o)( Owner or Tenant r A eaG C $7/1/ a/o/ f Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No EI (Check Appropriate Box) Purpose of Building JIN Et.//V 6' Utility Authorization No. Existing Service / d°Amps We /c? '&Volts Overhead El Undgrd®- No.of Meters 1 ',\ New Service Amps / Volts Overhead❑ Undgrd ElNo.of Meters ti Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W/,'A j/v '7,c v4/,p "p.p Completion of thefollowingtable may be waived by the I ector of Wires. Total U No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of' KVA Transformers KVA I. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting irnd. ❑ �rnd. ❑ 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 . c Initiating Devices i':- No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 0 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 Whiner: 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: /9 j e-A,7 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 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: _70e/(/f ,4,e/2c/401/7 LIC.NO.: -ea '-/57 Licensee: ,z/z/4,-s' 'Q/1 ro /,'Aj8ignature ///%%G i LIC.NO.: /& (If applicable,ewer"exempt"in the license number line.) Bus.Tel.No.. S-C,' �rY.9U,1X Address: -,Y f yvel/Ac 3- b"A y /?%, "./7.011,f Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ .1(1 TOWN OF YARMOUTH 4o BUILDING DEPARTMENT •o .' . 1146 Route 28, South Yarmouth, MA 02664 eM .;;,a,o ',`;y 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliota,varmouth.ma.us December 11, 2020 Julius Prizgintas 97 Chuckles Way Marstons Mills, MA 02648 RE: Permit Number BLDE-20-004547 Dear Mr. Prizgintas; The above noted permit inspection failed to pass for the reason(s) listed below as referenced in 527 CMR12.00: • A680.6: Pool cover motor and pit to be bonded. 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 AJ Pulley, Assistant Inspector of Wires C: Ken Elliott