HomeMy WebLinkAboutBLDE-22-004190 Commonwealth of Official Use Only
E0ms,
Massachusetts
Permit No.
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 BLDE-22-0041
(PLEASE PRINT/N INK OR TYPE ALL INFORMATION) Date: /27/2022
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) 481 BUCK ISLAND RD UNIT 6C
Owner or Tenant BALDMAN CONSTANTINE A Telephone No.
Owner's Address 31 BOOTH RD, DEDHAM, MA 02026-5707
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: Replacement HVA��
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 ❑ 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
Igjtiatine Devices
No.of Ranges No.of Air Cond. 1 TotaloNo.of Alerting Devices
n
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 Ballasts Data Wiring:
Heaters Siens Vo.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: Sean C Rogan
Licensee: Sean C Rogan Signature LIC.NO.: 20141
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:30 MELIX AVE, PLYMOUTH MA 023601280 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 my
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
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_ �i_ ! irfinanf fins J Permit No�1�2� (��
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=`=�= fq Occupancy and Fee Checked
Y-:., �.� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07)
(leave blank)
A DDI tr.A rretir 1-n.r•16•.r..w.,....-.... _
=: :.- • ,,'. i I v r Llr a-UK[vm CLEC I KicAL 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: 1/26/2.
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention perform the electrical work described below.
•
Location (Street&Number) 441 acid< kkok / 147/r 6-<-
•
Owner or Tenant y Mf, e.1.- ig.044"9")
Telephone No.
Owner's Address �,sy.=^
Is this permit in conjunction with a building permit? Yes
❑ No (Check Appropriate Box)
Purpose of Building Div'td/.y Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd`r;t' ❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: / ball .4 ///QC sr
Completion of the followingtable may be waived by the Inspector o Wires.
No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No. of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimminpool Above ❑ In- No.of Lmergency Lighting -
g
=md. srnd. 0 Battery Units
No. of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas BurnersNo.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total -
Tons No.of Alerting Devices
• No.of Waste Disposers Heat Pump NumberTons KW No.of Self-Contained -
Totals: I _ Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW JLOCaI Municipal -
❑ Connection " Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of WaterNo.KW No.of No.of Data Wiring:
Sighs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
5 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: Hf UI2).... 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 cover is in force,and has exhibited proof of same to the permit issuing office.
Im CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
^
I certify, under the pains and penalties of perjury,that the information on this ap lication is true and complete
• FIRM NAME: ceR , ecri� rC� LIC.NO.:complete.A,,
S
C_ Licensee: Ste, c. ia‘,c✓1/ Signature LIC.NO.: �. 6�
( ) (If applicable,enter"esempt"in the license number line.) Bus.Tel.No.: 1/4--P g.....
Address: 3D AC/.K' At- fir yn AA Alt.Tel.No.:
J *Per M.G.L. c. 147,s.57-61,security work equires Departure t 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
"ztrequired by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner 0 owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
11..
o :'�RR TOWN OF YARMOUTH
o BUILDING DEPARTMENT
p .e.I' _ y 1146 Route 28, South Yarmouth, MA 02664
- Yt'x 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott@varmouth.ma.us
February 8,2022
Sean Rogan
SCR electric, Inc.
30 Melix Avenue
Plymouth, MA 02360-1280
Location: 481 Buck Island Road, West Yarmouth, Unit 6-C
Permit Number: BLDE-22-004190
Dear Sean,
The above noted location inspection failed to pass for the reason(s) listed.
Article 358-30 (A) Support of EMT
required.
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