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Home My WebLink AboutBLDE-21-004494 --`G"'4- Commonwealth of Official Use Only Massachusetts PermitNo. BLDE-21-004494 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:2/8/2021 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) 36 BENTBLUFF LN Owner or Tenant Brian Clifford Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap• opriat B i Purpose of Building Utility Authorization No. P Y Existing Service Amps Volts Overhead 0 Undgrd 0 o.o my to ....-- New New Service Amps Volts Overhead 0 Undgrd 0 .o'''4 t rA Number of Feeders and Ampacity ^ �o Location and Nature of Proposed Electrical Work: Installation of hot tub. `(/�'�) v,-, Completion of the following table maybe wai b • •r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of s eft No.of Luminaire Outlets No.of Hot Tubs 1 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. Tons No.of Alerting Devices 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:* y No.of Devices or Equivalent No.of WaterNo.of No.of Data Wiring: Heaters KW 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: Licensee: Nicholas McEloy Signature LIC.NO.: 22642 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 Captain Carleton Road, Cotuit Ma 02635 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: $65.00 /_ 'e _ a CommonwattiA 7 ''Iaeewclutoi t °moixl Use Only ,, ` Permit No. X21 -44q4 w . -k If' i, 2opartimni 4.90.....c...k., Oocupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Ms,sachueatb Electrical Cede(MEC),52 12.00 (PLEASE PRINT IN INK OR TYP ALL INFO OIV) Date. / ‹p 4t f City or Town of: 6(R� To the Il�rspector f W roe: By this application the undue' Ives notice of his or her lionpon to ore the electrical work described below. Location(Stmt R Number N, + ►'''r 1 Aa,ti ()wan or Taut (Y(GG0 T/ I'GI Telephoto No4/r[- 3(93. 11//9 Owner's Address Is this permit In**unction with a building permit? Ya 0 No Ug (Chock Appropriate Box) Purpose of Building Utility Aethorlsatlon Na Existing ServiceAmps / Volts Overhead 0 Uadgrd 0 Na of Meters Nakalia ___ Amps / Volts Overhead 0 Uadgrd 0 No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: (,(ii re ,d >L �a.b C. .tion ofine.tallowkta bs ward br the ., at Wire:. , � JA No.of Recessed Luminaires Na of Cel4-Sup.(Peddle)Fans No.of Luminaire Outlets No.of Hot Tabs Generators KVA Above Ica- NO.Of iso y ugaanr No.of Luatineires Swimming Pool tr.rnd. 0 ?rid. ❑ Uhits No.of%weptule Outlets �No of Oil Burners FIRE ALARMS'No of Zona No.of Switches Na of Ga Barmen Piofaititftis . d No.of Ranges No.of Air Cond. Lisa No.of Mullis Devices No.of Waste Disposers ITed Pimp1plNBI I.4 ....�. ..,.. Na ho,'„i *id Na of Dishwashers Space/Area Heating KW .''' °"�"!`, Other , Na of Dryers Hating Appltrtaea KW I,. . .41../.... ►4 :-. 'O. ,.a r '0.0 Data Wirings Heaters KW Sian Ballasts =, py . i/ ..,t , rrr No.*dramaBathtubs No.of Motors Total HP41 ',*a"_.__ ,i ,, , + ..t OTHER: Attach adstftionai Moil Ltdexbo'vd as moulted by(ha Inspector oliPires. Estimated Value o dpi cal Work; /`f00 •°L' (When required by municipal policy.) Work to Start; ( a €Z•/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE GE: Unities waived by the owner,no permit fpr 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 covssage is in iw+ce,and has exhibited proof of urns to the permit issuing office. CHECK ONE: INSURANCE (ll BOND ❑ OTHER 0 (Sp.ol a pule tied I colo,Nutter the phis anti penal**qf pasJsuy,that the irttiormation FIRMNAMIt Cane Cod Electrical LIC.NO.:LIC.NO.: 21116112,A2,A Lkensees;4i c k Ivj a g k r°y Sissetontu� -";.----- t Hue.Tel.Na Adb1.,enter".xtsyot In the Wens number line.) Qdp ress:P.Q. Box 1594 MatItot)s 14111s MA 0Z648 Alt.TeleNo.t *Per M.Q.L.0.147,a.5741,security work requires Department of Public Safety"5"License: Lia.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee dots mat haw the liability insurance coverage normally requi by law. By my sig sture below,1 hereby waive this requirement. I am the( one)❑owl r P owners nem.Owner r/Agent r�No. 1 P8J�1I , 'PEP O. Signature Telephoto Entail: OmcKNcepecodelectrkiae.cam