HomeMy WebLinkAboutBLDE-21-000195 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-000195
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:7/14/2020
City or Town of: YARMOUTH To the Inspector of Wire : qg
C -0)
By this application the undersigned gives notice of his or her intention to pertonn the etec cal work describe$ w.
Location
Location(Street&Number) 111 CROWELL RD I t%RA'-y,[ et c4A1 „ai q,CL fr
Owner or Tenant Telephone No.
Owner's Address =------ .---•-- _ --- --,--•- c=- _ ' - --.
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: Rewire dwelling and upgrade service.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 80 No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets 35 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 110 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 65 No.of Gas Burners 3 No.of Detection and 13
Initiatine Devices
No.of Ranges 1 No.of Air Cond. 3 Total 9 No.of Alerting Devices
Tons
No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other:
Connection
No.of Dryers 2 Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water 1 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,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:) t9 (7_ 47?_ l 343
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Michael A Young
Licensee: Michael A Young Signature LIC.NO.: 36570
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:9 ROYAL CREST DR, NORTH ANDOVER MA 018456425 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) wner 0 owne's agents �r
Owner/Agent (/ „/1 ` 7/ / MIT
74
Signature Telephone No. 1VVV1jT/�, (v y PERMIT FEE: $460.00
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cial Use Onlyck... * – Permit No. � O (
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,li g,afar inent o .1ire Sarvice9C _
't1 z" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
71�`� [Rev.1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 0 52 CMR 12.00
(PLEASE PRINT IN INK OR TYPEALL IN�QRMAA ION) Date: 7 o2 0
City or Town of: (? ,e�> $ccrii4cowy,the Inspectf Wires:
By this application the undersign `gives jr oti Oh) herit tention to pe orm the electrical work described below.
Location(Street&Nuru er) 1, l t i,( g
-
Owner or Tenant O 4'�;�Tt e�Cl4 �12eS� �e.yGLC Telephone No.
Owner's Address 5a/rW2� r
Is this permit in conjunction with a buildingpe ' ? Yes l No 0 (Check Appropriate Box)
Purpose of Building e5/ /VC-( Utility Authorization No.
Existing Serviced CCI Amps /a, /70 Volts Overhead xi Undgrd fit No.of Meters
New Service 1/4:4:31 Amps /42 0 /cz/O Volts Overhead r: Undgrddr) No.of Meters
Number of Feeders and Ampacity 3 ,
Loca or,and Nature of Proposed Electrical Work: gee-4.3i('e � �
' 9 _ C�kr (47,
d
y letion of the following tabletrnay be waived by the Inspector of Wires.
No.of Recessed Luminaires 30 No.of Ceil.-Susp.(Paddle)Fans Nora sf Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
3 s grad. grad. Battery Units
No.of Receptacle Outlets f 1 0 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 6 5 No.of Gas Burners 3 No.of Detection and 2
Initiating Devices J
No.of Ranges / No.of Air Cond. 3 Total 09 Tons No.of Alerting Devices
No.of Waste Disposers / Heat Pump'.Number , Tons KW No.of Self-Contained
Totals:1 Detection/Alerting Devices
No.of Dishwashers / Space/Area Heating KW Local ❑ Municipal 0 Other
Connection
No.of Dryers 02 Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters / KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring:
p No.of Devices or Equivalent
OTHER: iL)/"1✓"1 t - f z ( ?(:)(-0e...1--
Attach additional detail if desired oras required by the Inspector of Wires.
Estimated Value of E c 'cal Work: l s (When required by municipal policy.)
Work to Start: '7 / vZ 0 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO . GE: 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 s>5ch coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Ci BOND 0 OTHER El (Specify:)
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: e. LIC.NO.:
Licensee: 1/1 1 -/ . n.' Signature / LIC.NO.: 3 4.570
(If applicable,enter"exempt'jh the licensumber line.) ' L Bus.Tel.No.:(o f 7 699/3'
Address: 9' C Cre* I>r. /l.b . 44444�rl it `d . 4�Alt.Tel.No.:
*Per M.G.L.c. 147, 7-61,security work requires Department of Public Safety"S"License: Lic.No. �G�%�'"L(�
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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ 17/‘.(}
>e
oY'Y i TOWN OF YARMOUTH
t-! a BUILDING DEPARTMENT
o _ y 1146 Route 28, South Yarmouth, MA 02664
MATTA E a 508-398-2231 ext. 1263 Fax 508-398-0836
4°aa.ato �,L
K. Elliott, Inspector of Wires
kelliott(a varmouth.ma.us
December 8, 2020
Michael Young
9 Royal Crest Drive
N. Andover, MA 01845
RE: Permit Number BLDE-21-000195
Dear Mr. Young;
The above noted location inspection failed to pass for the reason(s) listed below.
• A680.26(B)2-- Only listed splicing devices shall be permitted. Please forward a copy of the
manufacturer's listing for the split-bolt type and thru-lug type connectors.
• A680.7, A110.11-- Field-install terminals in wet locations and/or corrosive environments
shall be of copper, copper alloy or stainless steel and shall be listed for direct burial use.
Bolts attaching thru-lugs to pool shell securements must be stainless steel.
• A680.26(b)1, A250.12—Non-conductive coatings on equipment to be bonded shall be
removed from contact surfaces. The thru-lugs are attached to pool shell securements that are
severely rusted and do not allow for a low-impedance connection between the pool bond and
the pool shell.
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
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