The URL can be used to link to this page

Home My WebLink AboutBLDE-21-006932 coCommonwealth of Official Use Only i i --, —t$n': Massachusetts Permit No. BLDE-21-006932 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:5/30/2021 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) 8 BARNACLE RD 5/ 6-19 j!2-p 6.g/I Owner or Tenant CHEVERIE MICHELE R 6 Ul `( Owner's Address 8 BARNACLE RD, YARMOUTH PORT, MA 02675 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No ❑ Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 New Service Undgrd 0 No.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity ` /� Location and Nature of Proposed Electrical Work: Ductless A/C installation. � Jj 0,.„,,, 4 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers Total KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ No.of erEmergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. 1 Total No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW Signs No.of Data Wiring: Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 I certify,under the pains and penalties of perjury, er u ,that the information❑on this application is true and complete. FIRM NAME: RICH M MELVIN pp P Licensee: Rich M Melvin (If applicable enter"exempt"in the license n u mber line.) Signature LIC.NO.: 21829 Address:8 REARDON CIR, S YARMOUTH MA 026641207 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S" Alt.Tel.No.: ense: 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. Signature Telephone No. A- Z (tf f� leg a.CA") PERMIT FEE:$50.00 VA/ °' `�(7 efr \Itto a 6 \10f7e (443/2.4 _, _ NJ/A- q/!7/1 a. 06 zix • Commonwealth of Massachusetts Official Use Only Al I t Permit No. — A, '• 6 l 3 Z t=]=,ni_ Department of Fire Services Occupancy and Fee Checked °°,.��i BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W All work to be performed in accordance with the Massachusetts Electrical CodeWORK • (PLEASE TRINT.8rINK OR TYPE ALL INFORMATION C)°527 CMIt Iz.00 City or Town of: l�dl Date: �12� (7 ll►tlYl tl d1 To the Inspector of Wires: By this application the undersigned gives notice of his or er intention to perform the electrical work described below, Location(Street&Number) t/1.0iC 1 i ✓Yl r Owner or Tenant M (i Z- 7 /l('l(�Q Owner's Address U Telephone No. 5()g j�% 31��f Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building (ClzecicAppropriateBox) ��P�,1 tit G1 Utility Authorization No. Existing Service Amps . / Volts Overhead E. Undgrd❑ No.of Meters New Service �_ Amps / Volts Overhead • Number of Feeders and Ampacity E. Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: Com letion o the ollowln table m be waived b the Ins ector o Wires. No,of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Eans No,of Total No, of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators J[ VA No,of Luminaires Swimming Pool Above hi- o.o mergency ig mg ma. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners • FIRE ALARMS Na,of Zones No,of Switches No,of Gas Burners No.of Detection and No.of Ranges xnitiatin Devices No,of Air Cond. ofa Tons No.of Alerting Devices Heat Pump Number Tons IM No.ofSelf Contained No,of Waste Disposers Totals: Detection/Alertin Devices No, of Dishwashers Space/Area Heating IOW Local Nfunicipal No.of Dryers ❑Connection• Other Heating Appliances IOW Security'S steins:* c� No,of WaterNo, of No,of Devices or R uivalent l/ Heaters l'vW No, of Data Wiring: Si ns Ballasts No.Hydromassage Bathtubs No.of Devices or E uivalent No. of Motors Total HP `Telecommunications Wising: OTHER: No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: Work to Start; (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE; Unless waivedinsurance byin thecluding owner",co no permit letedo for theration"e performance ofor eits lectricalsub workstantil mayequivalent. Th issue unless the licensee provides proof of liability mpa undersigned certifies that such coverage is in force,and has exhibited proofp of same to thecoverage permit issuin office. V ,j\(" CHECK ONE: INSURANCE BOND ❑ OTHER Ell (Specify:) g \ r\j—, I cent fy,under the pains and penalties of pedury, that the infonnialton on this ap lication is true anti•complete. I+TRM NAME: E.F. WINSLOW PLUMBING & HEATING CO,, Licensee; RICHARD MELVIN LJ[C,NO.;328'1G Signature (Ifapplicable, enter "exempt"in the license number line.) • LZC.No,:2 1829f{ Address; 8 REgRDON CIRCLE SOUTH YARMOUTH,MA 02664 Bus.To.No,:506-394 777a*Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCEAlt.Tel.:No,; WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required bylaw, By my signature below,I hereby waive this requirement lam the(check one owner Owner/Agent Signature owner's a.ent, Telephone No. PERIVIT -- E.F. Winslow inspection Department email: inspections@efwinslow.com