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Home My WebLink AboutBLDE-21-003560 Official Use Only Commonwealth of f Massachusetts Permit No. BLDE-21-003560 ..1% , 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:12/26/2020 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) 308 OLD MAIN ST Owner or Tenant Captain Farris House Telephone No. Owner's Address CIO MICHAEL LUMIA, 310 OLD MAIN ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Replacement furnace. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Detection and No.of Gas Burners No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices al Munici No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other: Security Systems:* 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.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs 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: GARY L GORDON LIC.NO.: 15290 Licensee: Gary L Gordon Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 PERMIT FE : $50.00 Signature Telephone No. AM. Contas.onwigaik of Vial.eit..414 - • ...-._ : Official Use Only Permit No. . L.:3S _Q____ . ... r ..._ 2epadakeat al giro Servicee , .. BOARD OF FIRE PREVENTION REGULATIONS .Occupancy and Fee Checked------ - blank APPLICATION FOR.PERMIT TO PERFORNI ELECTRICAL WORK -.., All work to be performed in accordance with the Massachusetts Electrical Code 527 rMn 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: " / ', .2-sti .S4 City or Town of: YARMOUTH To the! or o Wires: tv By this application the undersigned gives notice of his or her intentiorerform the electrical work described below. V Location(Street&Number ST..i#62 I d/st0/9.L.r ..... i k .....rer:.rArdenant ,,,,,....„:„-tx.,,,, Telephone No.I,4..‘,_ . Is this permit in conjunction with a building permit? Yes 0 NI).0 (Check Appropriate Box) u ,Z,-, - Purpose of Balhliag Utility Authorization No. --____ ___7„S` a...\. Existing Service/d 0 Amps X---)0 triii Volts Overhead 2! UndgrdEl No.of Meters / ) New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters .....____ Nuinber of Feeders and Ampadty 7 it— d N . of Proposed '-'6--. -,- Work„....., ; 2. PAI7ze-4e, ..,/ ) 7 / ...,:pletion,ftheraliawing tabk may be waived by the brozor oppies. No.of Recessed Luminaires No.of Ca.-Se:sp.(Paddle)Fans - No.of Transformers , KVA No.of Luminaire Outlets No.of Hot Tubs Generators ' ' --KVA , , . ...V : Ns.of Luminaires SwijamIRE Pool = 0 IA-d_ 0 \.1 I. ., No.of Receptacle Outlets No.of Oil Burners - 0 • .r...... f 0 N. of Switches No.of Gas Burners • • . - "s6.5k Toial No.of Ranges No.of Air Coed. Tons 1:Pnlifi eabdtinfriaAR*AD:tectitonert4agtipxtvoicespevicesirad/14°.)4-,,trrts6;;84 No.of Waste Disposers Heat Pump I Number'Tons IKW No.oThelf-Contalaed, Totals:I Deteelion/Akirtbx Devick . ® No.of Dishwashers - Space/Area Heating KW- Local secvwEi ttainlitiPal;don mEl Oilier 4 y zirth........: sum .....m......ist'olvo. V No.of Dryers Heating AppliancesKW , No.offievIe res or Equivalent • .... No.of Water No.of No.of beta Wiring: V Heaters -ICW Signs Ballasts No.of Devices or Equivalent _1 inr. C.: No.Hydrqmassage Bathtubs No.of Motors Total HP Telecommunicsdons Wir No.of Devices or Equivdest ct OTHER: - . „.—,- Attach additional detail re:tired or as required by the Inspector of Wires. Estimated Value of -ifiy.; Work: ) r (When required by municipal policy.) Work to Start 416gr 430 Inspections to be requested in accordance with MEC Rule 10,and upon completion. . . (3 INSURANCE 'a VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless ....1 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. CI CHECK ONE INSURANCE BOND 0 OTHER 0 (SPecifT) 3I cent)",ander the pains and penalties ofporjury,that the information on this application is true and complete. ,.., S- Film NAME: CS-4,R4CIOdtht—.5-614-r 0/edit if.,C.. C--' LIC.NO.:PIS 62 re) Licensee: ....111,1,.A' Signature ...--501-"'""-- LIC.NO.:00.r4re gf applicable.enter-- -wt"rlicetae inenber_*seAt flve payoff fj.- pt." Bus.Tel.No.-,ni... ,p11/1_ .,yr . Address: 37 OR/ /i1/,..(14 7C --, Alt Tel.No.: J *Per M.G.L.c. 147,s.57-61,s-.m,*vi, requires Department of Public SaferyAS-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)0 owner 0 owner's agent Owner/Agent N I PERM7r vvv. 0 _ 1 Signature t).4 - Telephone o. -: 01•YAR TOWN OF YARMOUTH p BUILDING DEPARTMENT 401 y 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(&,,varmouth.ma.us February 22,2021 Gary Gordon Gordon & Sons Electric, Inc. 37 Billingsgate Drive Dennis,MA 02638-2234 Location: Captain Farris House,308 Old Main Street, S. Yar. Permit Number: BLDE-21-003560 Dear Gary; The above noted location inspection failed to pass for the reason(s) listed. Article 348-30 (A) Securing & supporting FMC. 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