The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001728 ---- Commonwealth of Official Use Only AMassachusetts Permit No. BLDE-22-001 728 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:9/27/2021 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 electricalr'' work described below. Location(Street&Number) 11 TERN RD '\J%f W I Ls a8-----SV—'U3% Owner or Tenant Telephone No. Owner's Address , Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check App opre.,),E4 Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 ff e New Service Amps Volts Overhead 0 Undgrd 0 Ni. ' �y4;›,' r-, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install receptacle for stacked washer/dryer. lO 4 Completion of the following table may Y e b • o f Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , Transformers t ' y;�/ No.of Luminaire Outlets No.of Hot Tubs Generators (� �1/ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets 1 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. 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 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: Steven E Tullock Licensee: Steven E Tullock Signature LIC.NO.: 20114 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 RUTH ST, HARWICH MA 026451674 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: $75.00 Z-1/4.c,It,t4 9/Z7(74 re Cc (at- 60 <(/ 7(u rg- 1::, ?1, 1,5) q4 LL< ( L4 tv D / 242 tt�\_SEPmo Comnwealth of rr/aeeachuealfe Official Use Only •" ;�'%1 Permit No. - - (l Iy/�JQ BU\Los•'"U4 s eP arlmanl o`. ire Seevices tjv r I -dv 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: Q/2-`-1 J e c ZJ 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) /t INJ R Q W. Owner or Tenant CA.)rG 5 kJ i/5 0/\t Telephone No. Owner's Address (/ rig tjl 4QO• Is this permit In conjunction with a building permit? Yes Eg No ❑ (Check Appropriate Box) Purpose of Building k ES I 0 Ent TlA C. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Loc on and Nature of Proposed Electrical Work: f n)5 T.4 I( JL)G /N 1ST Flo°4 s)ThCM4glE /AV Alva Comp on of thejollowingtoble may be waived by the Inspector of Wires, Lit No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.o 'total ((jTransformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA d- No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ Battery Units 7:::" No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Ro.of Detection sod Initiating Devices I I-, No.of Ranges No.of Mr Cond. Toni No.of Alerting Devices No.otWasteDlsposen 'Heat Pump Number_Tons, -KW No.of Self-Contained Totals: _ Detection/AlertingDsvices No.of Dishwashers Space/Area Heating KW Local❑Muninneccipaltion ❑ , C No.of Dryers Heating Appliances KW Sec uri No o Systems:* 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 lectric Work: (When required by municipal policy.) Work to Start: 2 21 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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: �1' v) 1tU 1(O CVe- ``__ LIC.NO.:2a(14 A Licensee: ' 't, v E (.)I tO C K.Signature --+ k—rrly c t-LIC.NO.: (Ifapplicable,a� r"exempt"in the license num¢Qe�r line.) � Bus.Tel.No.'Cd£S'-?Cs L-3y 2 Address: / G�tST �IIL( K A, 1Z//AeWke-r1 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. 1 am the(check one)E]owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ ';o1' �R TOWN OF YARMOUTH k 1c) 4 BUILDING DEPARTMENT o �'� -r 1146 Route 28, South Yarmouth, MA 02664 htAr�Qoouuo TTA SSE .'. ;�'+ 508-398-2231 ext. 1263 Fax 508-398-0836 ems' K. Elliott, Inspector of Wires kelliott(&,yarmouth.ma.us November 17, 2021 Steven Tulloch 7 Grist Mill Road Harwich, MA 02645 Location: 11 Tern Road, South Yarmouth Permit Number: BLDE-22-001728 Dear Steve; The above noted location inspection failed to pass for the reason(s) listed. Article 210-8 GFCI Protection 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