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Home My WebLink AboutBLDE-21-007418 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007418 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:6/21/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o is or er in en ion o pe orm 1 e e ec•ica work described below. Locaticn(Street&Number) 2 ST ANDREWS WAY Owner or Tenant LAPERLE RAYMOND N Telephone No. �"+°y Owner's Address LAPERLE DENISE M,2 ST ANDREWS WAY,SOUTH YARMOUTH, MA 02664 4 t 1. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • , ' i ria : :11"'""" rr Purwise of Building Utility Authorization No. , -- may • V Existing Service Amps Volts Overhead 0 Undgrd 0 t New Service Amps Volts Overhead 0 Undgrd ❑ No.o 1> ¶t, Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: Air Cond. Completion of the following table may be waived by the I e4 jbr of Wires : No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1No.of Emergency Lighting grnd. grd. 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 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 0 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 Siens 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 Wire 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 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: $50.00 _ = Commonwealth of Massachusetts Official Use ^7O[nlyy jg I,__'_ t Permit No. (j — / 'L ^,_,t,- Department olPFire Services `_(_ Occupancy and lee Checked .V----'-=-;-- BOARD OF FIRE PREVENTION REGULATIONS Rev.9/05 ,r %.,;,.. ( j (leave blank) • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE.PRINT IN DM OR ZYPE ALL INFORMATION) Date: 47/ 5 /z I City or Town of: 40VLOv To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the eleotrfoal work described below, Location(Street&Number) L 17).94,41- 1\NifeIA15 Wu 5 v VOtOl1'1$i/t'A 0-66 q Owneror Tenant cN13 Lt..PerQ Telephone No. 50�l'I,t( 150S 5 Owner's Address 501rJYVlc'. Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building bv\lte, viC.( Utility Authorization No. Existing Service Amps J ; / Volts Overhead n Undgrd❑ No.of Meters ' New Service Amps / Volts Overhead❑ Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I\,,C y 145644,H do 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 IECVA No,of Luminaire Outlets No.of Hot Tubs • Generators KVA No.of Luminaires Pool swimmingAbove In- o.ofJ•i n:rergency Lighting grnd. ❑ grnd. II 1Battery 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 AlertingDevices Tons No.of WasteDis Disposers Heat Pump Number Tons KR__ No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Locale Municipal I I Oth Connection Other • No.of Dryers Heating Appliances IOW SecurityS sterns:* No.of Devices or Equivalent No.of Water No.of No. of Data Wiring: Beaters Signs Ballasts No.of Devices or Equivalent • No.IXydromassage 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,) 41) V\ 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 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 [] OTHER ❑ (Speoify:) , N `O I certify,tinder the pains and`penalties of perjury,that the information on this ap Iication is true and complete. (� FIRM NAME; E.F,WINSLOW PLUMBING&HEATING CO., I .LIC.NO.:328'10 _.. -• Licensee: RICHARD MELVIN Signature LIC.NO,:21829A f"---.' (If applicable,pp ' able, enter"exempt"in the license number]fee) Bps.Tel.No,:508-364.7776 1 „,sr, Address; a REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Alt.Tel.No,: *Security System Contractor License required for this work; if applicable,enter the license number here: N) OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally G required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner owner's agent, Owner/Agent Signature Telephone No, PERMIT FEE: $ ' E.F. Winslow Inspection Department email : inspections@efwinslow.com