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Home My WebLink AboutBLDE-22-000742 RM 250 0.... Commonwealth of Official Use Only NI Massachusetts Permit No. BLDE-22-000742 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:8/9/2021 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) 237 NORTH MAIN ST Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664-3150 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement :;' 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool gr bovend. ❑ grnd. ❑ No.of Emergency Lighting 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: Siens 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: E F WINSLOW PLUMBING HEATING CO INC Licensee: RICH M MELVIN Signature LIC.NO.: 21829 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 REARDON CIRCLE, SOUTH YARMOUTH MA 02664 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:$80.00 --- _ Commonvirealth of r7SSaChC1Se S Official Use Only r 'r off►_ I (=�>>Ri_ Department oil Fire Services S'ermitNo. �—Z—0? � e Occupancy and Fee Checked ?'','=-�.� BOARD OF FIRE PREVENTION REGULATIONS ```� [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MC),527 CMR 12.00 (PLEASE 2RINT IN INK OR TYPE ALL fill:FO.RNIATION) PL. `ASE.2RTNTIN.1NKORTYPEALL1.N.F'O.RMATION) Date: el C 5-/' 1 City or TOM. of: Yu f w,,i0 To the Inspector of Wires: By this application the undersigned gives notice of his ,^or her intention to perform the eleotrical work described below, Location(Street&Number)j Z1 '� N0c44 l 11/7Grl/I Si. Owner or Tenant T,iihuop Phac �GU�L �G/ Oil ! t�'Z6 et�/ Um �s0 Telephone No, S ' O 5/ $is0 Owner's Address 5004e Is this p erxnit in conjunction with a building permit? Yes I I No I , l�uilding ' �� , L�`� l�ltecXc.r�.ppropriate Box) Purpose of a- 1&ic(A( Utility Authorization No. Existing Service Amps . / Volts Overhead I I (Ind rd g No.of Meters New Service Amps / Volts Overhead Number ofF+eeders and Amp acity Y7ndgrd I I No,of Meters Location and Nature of:ProposedE+lectrical'Work: a ` C (ems L'_ ii f�®o 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 Total Transformers p.'V',A, No, of Luminaire Outlets No.of Hot Tubs • Generators X<•V'.r�. No.of Luminaires Swimming PoolA ove In- No.oi'LrnergencyLighting g grnd. I Battery Units _ No.of Receptacle Outlets No.of Oil Burners • X''XR''ALARMS INo,of Zones No,of Switches • No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Totai Tons No.of Alerting D evices No.of Waste Disposers Heat Pump !Number Tons IKW No:of Self Contained 'Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW L acal Municipal • U Connection I I Other No. of Dryers XXeating Appliances KWSecurity'Sy�steins:* No,of Water KW Heaters of No, of No.of Devices or Equivalent Data Wiring: Signs Ballasts No,X�(ydrornassage BathtubsNo,of Devices or Equivalent • No. of Motors Total SIP Telecommunications Wiringg: OT TER: No.of Devices or E trivalent Estimated Value of Electrical Worlr. Attach additional detail if desired, or as required by the Inspector of Wires, Work Start; (When required by municipal policy,) Inspections to be requested in accordance with 1V1EC 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: ]NSDRANCE 21 BOND El I certify,under the pains and enallies o OTHI?R El (Speoily:) P f pey�zrry, that the irtfopra1allon on this ap Xicatiory is one and complete. X+Xi M NAME; E.F. WINSLOW PLUMBING & HEATING CO„ I Licensee; RiCHARD MELVIN LXC,NO,c S18'I C -- LTC,NO.:Signature 2829A � r ((Tic/pp/Ica/go,enter."exempt"in the license number line.) v Address; 8 REARDON oJRcLn SOUTH YARMOUTh,,MA o2ss4 Bus,Tel No,:5oe-ss9�777s _ ' s *Security System Contractor License required for this work;if applicable,enter the license number here; OWNER'S INSURANCE Alt.Tel.No,: N v WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally �7" required bylaw, By my signature below,I hereby Waive this requirement. lain the(check one ig n tune ent )^ owner h oryne ctrt, Signature • Telephone No, PERMIT F.8:E; ' E.F, Winslow Inspection Department email: inspections@efwinslow.corn