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Home My WebLink AboutBLDE-22-002199 \II Commonwealth of Official Use Only 't. ,�;€ i k Massachusetts Permit No. BLDE-22-002199 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:10/18/2021 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) 222 BLUE ROCK RD Owner or Tenant FELLOWS RAYMOND F Telephone No. Owner's Address FELLOWS HARRIET A, 23 WOOD POND RD,WEST HARTFORD, CT 06107 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 Ni A� eters New Service Amps Volts Overhead 0 Undgrd 0 41t41,464, Number of Feeders and Ampacity °4to Location and Nature of Proposed Electrical Work: Replacement HVAC. k ji/ .f) ' ,''''' -41 '132 Completion of the following table ma No.of e w v R : t Wires. ®* No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers �of No.of Luminaire Outlets No.of Hot Tubs Generatorsifr Above In- No.of Emergency Li to'4 No.of Luminaires SwimmingPool ❑ ❑ g y `�.� 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 Initiatine 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 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 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: SCOTT D MORRIS Licensee: Scott D Morris Signature LIC.NO.: 18338 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1264, HARWICH MA 026456264 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 td)! _ 674Vg- 61z wi ?.<i) Commonwealth of Massachusetts Official Use Only 1 _— t Permit No. ( 22� — I n 1 -,,, Department of Fire Services !+ Rev.Occupancy1/07 and Fee Checked =i BOARD OF FIRE PREVENTION REGULATIONS ..�,,, j (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: 10/15/21 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) 222 Blue Rock Road Owner or Tenant Fellows Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes n No ® (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps Volts Overhead n Undgrd❑ No.of Meters New Service Amps Volts Overhead n Undgrd [ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Wiring for HVAC system. 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units i No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. of Detection andInitiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump: Number Tons KW No.of Self-Contained Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent_ No.of Water KW- No.of - No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: 10/11/2021 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 o same to the permit issuing office. CHECK ONE: INSURANCE E BOND ❑ OTHER ❑ (Specify:) I cert , under the pains and penalties of perjury, that the information o/ his application is tru' and complete. FIRM NAME: SDM Electric,Inc. LIC.NO.: 18338A Licensee: Scott D.Morris Signatur ,,/ S i�/i,.,, LIC.NO.: 38090E (If applicable,enter "exempt"in the license number line.) a— Bus.Tel.No.: 508 430 4014 Address: PO Box 1264 East Harwich,MA 02645 Alt.Tel.No.: 774 353 6902 *Per M.G.L.c.147,s. 57-61, security work requires Dep: , of Public Safety"S"License: Email:scottmorris@sdmeiectric.com OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally re- quired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑ owner's agent. I Owner/Agent Telephone No. I PERMIT FEE: $ Signature soy TOWN OF YARMOUTH • - • BUILDING DEPARTMENT , r; � o oN _ ,,, . 0-31146 Route 28, South Yarmouth, MA 02664 MATTAlM cE 508-398-2231 ext. 1263 Fax 508-398-0836 `xw.a..r�aso ;d K. Elliott, Inspector of Wires kelliott(a,varmouth.ma.us December 7,2021 Scott Morris S.D.M. Electric,Inc. P. O. Box 1264 East Harwich, MA 02645 Location: 222 Blue Rock Road, South Yarmouth Permit Number: BLDE-22-002199 Dear Scott: The above noted location inspection failed to pass for the reason(s) listed. Article 210-63 Receptacle 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