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Home My WebLink AboutBLDE-21-005512 a Commonwealth of Official Use Only f1.1 Massachusetts Permit No. BLDE-21-005512 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) 77 ROUTE 6A Owner or Tenant Liberty Hill Inn Telephone No. Owner's Address 77 ROUTE 6A,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropria ) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 '• , •ter New Service Amps Volts Overhead 0 Undgrd0 �1Tr � 1 r s Number of Feeders and Ampacity O I" k. Location and Nature of Proposed Electrical Work: Remodel bathroom.(LIBEDRTY HILL INN) ?p , Completion of the following table may be waive,41 " ,ea: 'res. aJ./ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) No.of Fans 414: N Transformers No.of Luminaire Outlets No.of Hot Tubs Generators 0 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. 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 . 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 Signature Telephone No. PERMIT FEE: $100.00 �p 0 647( id c'5/-24 R-j evr 4:424 (4, zi- 1e * 100 14 Consnsonumaa o`1//aseachweits Official Use Only ��i Permit No. Z� —(6-SS \7� .ii■ . - , �L��y/`epePimanof 3Mi Services . _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 O` (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ;, All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527MR 12.00 -1 I (PLEASE PRINT IN INK OR TYPE INFORMATION) Date: 312 q �e 021 City or Town of: ,/LI`( 0011"1To the Inspector of Wires: U By this application the undersigned ' es notice of his or her intention to orm the electrical work described below. Location(Street&Number) 'Ti k I NI 57• , Q 1.-oc FC T 0 Owner or Tenant Lt Pj�c?...t9 ( -E at I K)NI Telephone No. 362-39Tb Owner's Address S A µ , j Is this permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) ty I Purpose of Building R S ts>E t.T1A L Utility Authorization No. 1•11/ A r) Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters V / " Number of Feeders and Ampacity / t Location and Nature of Proposed Electrical Work: (E C 1'2.'CA ( l l.1 t .IN& e t -rn 2b -4 R.E)- ttoEL( ) Completion of thefollowingtab/e my be waived by the Itivector of Wires. No.of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Y. No.of Luminaires Swimming Poole 0 Ignacio- ❑ Ivo.ofttery EmeUnirtsgency Lighting Ba 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 Ranges No.of Air Cond. Ton No.of Alerting Devices Heat Pump Number Tons KW_ No.of Self-Contained No.of Waste Disposers Totals: _. ._...� - Detectia&Alerting_Devices 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 No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications W No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or FAIllent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lee 'cal Work: (When required by municipal policy.) Work to Start: 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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- BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the h�b°nnadon on this application is true and complete. FIRM NAME: T & ---rk. l( x Y C EC-LCCA,L LIC.NO.: -MI(U A Licensee: ,<S—t'E\)E i v( ( OC Signature .... '44‘` W—LIC.NO: (If applicable,enter'exei t"in the license number lure Bus.Tel.No. zo�3C-(2� L-, Address: '7 VAST H It( VD - 6-14.0.1./.1t C" 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. I am the(check one)0 owner ❑owner's agent. Owner/AgentTelephone No. I PERMIT FEE:$ Signature 'oY'YRR =, TOWN OF YARMOUTH BUILDING DEPARTMENT ,'e o 40, . y 1146 Route 28, South Yarmouth, MA 02664 MATTA LSE x. 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a,varmouth.ma.us May 26,2021 Steven Tullock 7 Grist Mill Road Harwich,MA 02645 Location: Liberty Hill Inn, 77 Route 6A, Yarmouth Port Permit Number: BLDE-21-005512 Dear Steve, The above noted location inspection failed to pass for the reason(s) listed. Article 210-12-C Requirements for arc fault circuit protection. 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