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Home My WebLink AboutBLDE-22-000741 RM 312 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000741 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement ''gam 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. rnd. 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. 1 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 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 Ballasts Data Wiring: Heaters 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 ❑ (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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 --- Cornrnanytrealth of ivia,5sachusetts Official Use Only nF! ,nl= Department of Fire Services DermitNo. 22—�07 J,�,•E� e —`f f- Occupancy and Tea Checked �,'= BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/O5� (leave blank) APPLICATION FOR PERMIT TO PERFORIVI ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE_PRINT]N.1NIC OR TYPE ALL X.N.FORtVIATION) Date: f.7 /t I City or To'vvn of: Yil in 1-1,4 To the Inspector of Wires: By this application the undersigned gives notice of his or er intention to perform the electrical work described below, Location(Street&Number)?,Zj Nb/fl,jA 4n0 bJ 5 wt`l Yet/A?0d fr� o 7.66 q Owner or Tenant 'I1I/WOdd dLaCe unit 3la- Telephono No.50$ $gat. Owner's Address SQ" Is this permit in conjunction with a building permit? Yes I I No 1Kc.heckAppropriate Box) Purpose of Building 0,40 CGP/14141,L✓G(lot( utility Authorization No. . Existing Service Amps / Volts Overhead I I Ilnd rd g ❑ No.of Meters New Service Amps / Volts Overhead I I Thud rd g ❑ No,of Meters Number of Feeders and Ampa city Lo cation and Nature of Proposed Electrical'Work: A.,C. ;11s�11aEro0 Completion of the followin•table may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KV',A, No, of Luminaire Outlets No.of Hot Tubs • Generators KVA No.of Luminaires Swimming Pool Above In- No.of m.ergency Lighting grnd. 1� grnd. I Jd Battery Units No.of Receptacle Outlets No.of Oil Burners ROE ALARMS lNo,of Zones No.of Switches • No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices 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 Connection 1 I Other No.of Dryers Heating Appliances KW Security' ppsterns:* No,of Water No. of No, of No.of Devices or Equivalent Heaters KWData Wiring: Signs Ballasts No.of Devices or Equivaient No,Hydz ornassage 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; Inspections 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 ot'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, 0 CHECK ONE; INSURANCE 2 BOND ❑ OTHER ❑ (Specify:) T I certify,under the pains anclpenalties ofpedury, that the information on this ap lication is true and complete. �n MAN Man; E.F. WINSLOW PLUMBING &HEATING CO,, ( .MC.NO.;328'I C Licensee; RICHARD MELVIN Signature 0,..„0 (Iy'app(icgble, enter"exempt"in the license number line.) MC.NO.:2'1 829A N Address; s REARDON CIRCLE SOUTH YARMOUTH,MA o26s4 Etas.Tel.No,:508 ssq 7778 _� *Security System Contractor License required for this work; if applicable, enter the license number heee: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. .am the (check one)Q owner ❑owner's agent, Owner/Agent Signature Telephone No, I PERMIT. 'E: $ I ' E.F. Winslow Inspection Department email: inspections cr efwinslow.com