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Home My WebLink AboutBLDE-22-001535 iliCk Commonwealth of Official Use Only it':,, t Massachusetts Permit No. BLDE-22-001535 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:9/17/2021 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) 244 WILLOW ST UNIT F Owner or Tenant LEVY CHARLES E Owner's Address 244 WILLOW ST UNIT F,YARMOUTH PORT, MA 02675 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ g 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 air conditionin•s 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 No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Aboved. ❑ In- ElNo.of Emergency Lighting grn grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 I certify, .fP .1,under the pains and penalties o errY, u that the information on this applications true and complete. FIRM NAME: E F WINSLOW PLUMBING HEATING CO INC Licensee: RICH M MELVIN Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21829 Address:8 REARDON CIRCLE, SOUTH YARMOUTH MA 02664 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$80.00 I C\---246r I (4122' fre 6064ta -5e46e-45 4 A& Pet,4) Ovikeit if-s-A) Ci:_,A. 2.(q/22/V—e, 4)Mr At arti9 Coxnmo,taweaIth of M 1 '�—•=_ t �',SSr�C.�l'CXSe�`�.S Official Use Only .�.i[,/jl,� Department e •M ey.ti_— a �rx� Serrr�ees )Permit No. '�Z-Z —(S3 9^,;,t;�•� �1LATIDNS Occupancy and Pee Checked BOARD OF FIRE PREVENTION REG [Rev.9/05j (leave blank APPLICATION FOR PERMIT TO PERFORM All work to be performed In accordance with the Massachusetts Electrical Code .0 CAL WORK (PLEASE.�.Rz�rTlnrznrl OR TYFE LIN. o C)� 1 CMR 12.00 City or To viiIN o' 7A 1L! .RMAT'Io.N) Date:�'� 9 l By this application the undersigned ryes notice of his or her intention to perform the ee l t ical work des ' Location(Street&Number Zy (AJc`t1 } died below, OWner or Tenant (� Oi+ OZ� ; irn,Is F ,t Eti Telephone No, $0 g 3 Owner's Address 490 Is this permit in conjunction with a building permit? Yes Purpose of Building �' heck Appropriate Box) Utility Authorization No. Existing Service AmpsVolts Overhead �--~ • New Service iTn dgrd L— Na,of Meters-- Amps / Volts Overhead E. Thidgrd Number of Feeders and Ampacits, C No,of Meters Location and Nature of Proposed Electrical'Work: •C 1 Il41- r Com.letion a the allow/);table in. be waived b the ins.ector o Wir•es. • No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Pans No. of Total No, of Luminaire Outlets No. of Hot Tubs • Genera Transformers No.of Luminaires Generator's X (rA SwimmingPool Above r- In- — `o.o itnergency agz-nag • No.ofReceptacle Outlets !raid. _ Bette Units No.of Oil Buzners FIRE No,of Switches No. No,of Zones No,of Gas Barriers No.of 0etectaon and No.of Ranges Xnitiatin:Devices No, of Aix Cond. ota No,of Waste Disposers Heat Pump Tons No.of AlertingD suites p Number Tons 'Totals: x• ,.,.,...., No.of Self-Contained No.of bislzvyaslaers Detection/A,lertin:Devices Space/Area Heating X£�V Local NturaicipPl I No. of Dryers Xleating.Appliances Connection L Other No,of Water ly(r Security S stems:* Beaters KW No, of No, of No,of evices or uivalent Si Ds Ballasts Data wiring: No,I�(ydsageBathtubs No.of Devices orE.uivalent ( —� No. of 11/fotors Total HP Telecommunications•Wa�;•an �J OTZliD; No,of Devices OrE.uivalent Estimated Value of Electrical Work: additional detail if desired,or as required by the Inspector of Wires, Work to Start; (When required by municipal policy) Ste I; Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSCOVERAGE: 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 ifs substantial C� undersigned certifies that such coverage is hi force, and has exhibited proof of same to the permit issuin office, �_ CBECI OM: INSURANCE equivalent. The �` I certi p BOND ❑ OTHER ❑ (Specify:) g e, fy,under the pains anclpenallies ofpejjzcay,that the infornaation on Hits ap llcation is true and complete. fl R RNI N•AmE; E,F, WINSLOW PLUMBING & HEATING CO,, I Licensee; RICHARD MEI..VIN .LIC,N0.:S28'1 C L applicable,enter "exempt"in the license Signature N Address; B REARbON C1RCL6 SOUTH YARMOU Der line.) dam_ LIC,NO,:21820A *Security System Contractor License required for this work;if applicable,enter the license number Tel. No..roe asq 777e OVNE14'S INSURANCE Alt.Tel.Igo,; WAIVER: I am aware that the Licensee does not/lave the liability insurance coverage normally required by taw. By my signature below,I hereby waive this requirement. I am the(check one.) y Signatureownea� ner,s agent, Telephone No, • • C.F. Winslow Inspection Department email: inspections@efwinslow.com efi,vinslow.com