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Home My WebLink AboutBLDE-21-001041 Commonwealth of Official Use Only Permit No. BLDE-21-001041 I �, Massachusetts 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:8/31/2020 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) 11 BAYRIDGE DR P4( Ls PP Q( LLB Owner or Tenant Telephone No. Owner's Address 11 BAYRIDGE DR,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ; ! I ' ; • L : i x) Purpose of Building Utility Authorization No. • Existing Service Amps Volts Overhead 0 Undgrd 0 "�. i14 : New Service Amps Volts Overhead 0 Undgrd 0 p /ov Number of Feeders and Ampacity HVAC. Electrical Work:Location and Nature of ProposedReplacement Completion of the following table 2ved by the In ,r 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 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: Richard 0 Holt Licensee: Richard 0 Holt Signature LIC.NO.: 31926 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 SHORT ST, MIDDLEBORO MA 023463015 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:$50.00 TZ9i.- -- 60120‘, c-A Pta-x 3c-411 C tom ) 9/1 ( o V 110.50 cbc t• i • lk „, V CommonweaCth.4 aeachuaatte Official Use Only r iit 5 t cc�� cc77 {� Permit No. C/22 — ( U 41 .� 1. ` 2sparfineni of ire Serviced ki - I; Occupancy and Fee Checked " BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] n (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 4 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: '/Z(/Z-o City or Town of: YARMOUTH To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 0� Location(Street&Number) f/ 1zi y ro , Dr � Owner or Tenant PA/lip ( //ter Telephone No. % Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) � Purpose of Building !Pg f dii y t /p/ S:ypC le, Ly.✓i. Utility Authorization No. f Existing Service Amps /0 l Z:Qi/ Volts Overhead❑ Undgrd No.of Meters ii, New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters V Number of Feeders and Ampacity _"I Location and Nature of Proposed Electrical Work: 7O t,,..•e thou. 46 ez,e14410+. s �ev.re kKv.GG� V.) Completion of the followingtable 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 Poot�Above ❑ In- ❑ 'No.of Emergency Lighting rnd. grad. Battery Units ',;z` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners / —No.of Detection and K' Initiating Devices Total 1- No.of Ranges No.of Air Cond. / Tons 1%L. No.of Alerting Devices No.of Waste Disposers Heat Pump Nmber 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 Security f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivaecoglent No.Hydromassage Bathtubs No.of Motors Total HP Tel Noons f unicaDevicesoor EquWiivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 66i.(la (When required by municipal policy.) Work to Start:/ L4/LC/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: 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 cove coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:!L i'l�G� /�� LIC.NO.: l .rZ��'Licensee: ,,,ti,r./ lie1f Signature i� LIC.NO.:/ 9 (If applicable,enter"exem in the license number line.ff// Bus.Tel.No.: Cd12 44 Ir..I�y Address: ,') 1t011 ems'- M•dr//J IA 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 4 ♦-s w TOWN OF YARMOUTH • - o BUILDING DEPARTMENT p -y 1146 Route 28, South Yarmouth, MA 02664 ' MATTA r [SE 508-398-2231 ext. 1263 Fax 508-398-0836 • K. Elliott, Inspector of Wires kelliott(uvarmouth.ma.us September 1, 2020 Richard Holt 57 Short Street Middleboro, MA 02346-3015 RE: Philip Giles, 11 Bayridge Drive, Yarmouth Port Permit Number: BLDE-21-001041 Dear Richard; The above noted location inspection failed to pass for the reason(s) listed. Article 110-3B Incorrect circuit breaker installed 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