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Home My WebLink AboutBLDE-22-000083 Commonwealth of Official Use Only . U Massachusetts Permit No. BLDE-22-000083 .....::' 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/N INK OR TYPE ALL INFORMATION) Date:7/7/2021 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) 32 HAZELMOOR RD Owner or Tenant LATHAM CENTERS INC Telephone No. Owner's Address 1646 ROUTE 6A, PO BOX 1879, BREWSTER, MA 02631 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • t i priate Bqa, • / Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd No o ,`'e •• 3 New Service Amps Volts Overhead 0 Undgrd o Number of Feeders and Ampacity n Location and Nature of Proposed Electrical Work: Wiring for A/C. 4dtOt // \ U Completion of the following table may be wet ' ctor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ` 1 al Transformers A 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 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 Sins 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: Michael J Mcsheffrey Licensee: Michael J Mcsheffrey Signature LIC.NO.: 9897 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 LEONARD CIR, MANSFIELD MA 020482754 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 AirvIL 1-44,1 % CO3 gaz 7/(71M 2 J - (2i P-f i Commonwealth,o`Vasoachuoettt OOfficiall Use Only (� ��—_*_ _�/• cc�� c77 Permit No. C�l�fi`�TJ 2epartment o�..tire�erviced w -;�_ Occupancy and Fee Checked � = BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: July 6, 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) 32 Hazelmoor Road Owner or Tenant Latham Centers Telephone No. 508-896-5776 Owner's Address 1646 Route 6A, Brewster, MA 02631 Is this permit in conjunction with a building permit? Yes Ti No ® (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add dedicated circuit for air conditioner Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.ofCeil:Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- 1-1 No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p 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 , No.of No.ofK Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $250 (When required by municipal policy.) Work to Start:7/6/2021 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 of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) GENERAL ACCIDENT INSURANCE Exp:07/31/2021 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS, INC. LIC.NO.:9897A Licensee: MICHAEL J. MCSHEFFREY Signature r "'� '/�,1:,.f�1 LIC.NO.:9897A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.•508-394-3211 Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 Alt.Tel.No.:508-400-8936 *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)El owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ rRR TOWN OF YARMOUTH I; BUILDING DEPARTMENT . 1 --y 1146 Route 28, South Yarmouth, MA 02664 N " ,;o r47 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(&,varmouth.ma.us July 14, 2021 Scott Ventura Reilly Electrical Contractors 110 Old Townhouse Road South Yarmouth, MA 02664 Location: 32 Hazelmoor Road, South Yarmouth Permit Number: BLDE-22-000083 Dear Scott; The above noted location inspection failed to pass for the reason(s) listed. Article 210-12 Arc fault circuit 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