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Home My WebLink AboutBLDE-21-005511 Commonwealth of Official Use Only (' Massachusetts Permit No. BLDE-21-005511 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:3/25/2021 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) 11 TERN RD Owner or Tenant Wes Wilson Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropri, . Box) Purpose of Building Utility Authorization No. 528366. 0 Existing Service 100 A ,ze mps Volts Overhead 0 Undgrd 0 • et s New Service 200 Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. p V Completion of the following table may ir 1.sj /��ires. No.of Recessed inair No.of Ceil.-Sus . Paddle Fans No.of �� tal✓ Luminaires p( ) s �� '4 Transformers No.of Luminaire Outlets No.of Hot Tubs Generators Z .�,I jj- No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighti g 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating K\\ Local ❑ 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 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 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent A Signature 202 0+ Telephone No. V"-4 1''1 PERMIT FEE:$50.00 �4 f ti �3eu /e'A cc Mils) `1113/W (s N OttrFoN) tNk(z atir , 61644E7 f r rt,12-&/w t#4- 1 /i9/- -i) (((I ,f #- Q 1, C [m /// .lie fficialliar Onny`r • ommoaruea of aeaac 2F— J,J t C) �. . " c A �'/ ��ii Permit No. r'= 2sparimant of..tire&pukes -` ;;- Occupancy and Fee Checked _ II_ d '`- f BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) 4I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0; All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 -C I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 'W e Lt/C O 21 G) City or Town of: y-1 e"awl-h To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)" `I .TE 2 t.1 (L> 0 Owner or Tenant Y I 'S h)1 i-S OIJ Telephone No.508 5 I.8 3 c}6 Owner's Address 'R)`(I' - Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) N Purpose of Building P.�S 1 t-rra A L. Utility Authorization No. rj 28 31-,66 Existing Service I(Amps I 2a 24CIVolts Overhead® Undgrd❑ No.of Meters I New Service ?C Amps I ZO 2 90 Volts Overhead I Undgrd El No.of Meters Y J Number of Feeders and Ampacity 4/d A bi-.4' v J Location and Nature of Proposed Electrical Work: 200 A s t Q Q I C.E ()('(s CA 6 t. Completion of the followinktabk may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceti SPal .(Paddle)Fans No.of Transformers K KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA swimming Pool Above In- No.of Emergency Lighting No o[Lumlhahes 8 grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners 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/Alerting Devices Mumi peal No.of DishwashersSpace/AreaArea Heating KW Local ElCoanecfbn ElOther HeatingAppliances KW Security Systems:• No.of Dryers No.of Devices or Equivalent No.of Water No.of No.ofKNV Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 'Telecommuniatbea 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 lec al Work: (When required by municipal policy.) Work to Start: 3 3 • l5 'Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: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 Iigt BOND 0 OTHER❑ (Specify:) I certify,under the pains and penalties nary,that the information on this application is true and complete. FIRM NAME: << . TE\)E IO(IOcAhl CIeC I I Lic.NO.:?of Iy1"\ Licensee: `e 1 V I IOC '`Signature '1/4SLv C -LIC.NO.: ,-, ' t Bus.Tel.No.SO.-i e'-34 Cizs Afadress: enter mpt( tRIS1-he license mmtl ,IN I I . • H A C-W 1 CH Alt.TeL No.: Address: "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 ant 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)❑owner 0 owner's agent. Owner/Agent Telephone No. I PERMIT FEE:$ Signature /01 :-Y- ` i4 TOWN OF YARMOUTH a BUILDING DEPARTMENT 0 + - y€ 1146 Route 28, South Yarmouth, MA 02664 ';� MATTAC91 SEA 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a yarmouth.ma.us November 17, 2021 Steven Tulloch 7 Grist Mill Road Harwich, MA 02645 Location: 11 Tern Road, South Yarmouth Permit Number: BLDE-21-005511 Dear Steve; The above noted location inspection failed to pass for the reason(s) listed. Article 230-54-C Weatherhead above attachment point. Article 406-4-A Circuit I/D ' s 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