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Home My WebLink AboutBLDE-22-001607 Y` � Commonwealth of Official Use Only E. Massachusetts Permit No. BLDE-22-001607 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:9/21/2021 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) 162 THACHER SHORE RD Owner or Tenant CLARK BRADFORD BARRETT Telephone No. ,� Owner's Address CLARK PATRICIA, 1 HEWLETT PL, GLEN HEAD, NY 11545-1612 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 L Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Basement family room&bath room renovation Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 3 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 Signs 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. !, ' c7-%_,..1c,0 '* ( 4574 _ çN `Vt3(9)2.,X__ �_ Commonwealth of Massachusetts Official coo Use Only I t Permit No. a 7 ; ,'i-7 Department of Fire Services y Occupancy and Fee Checked *,- ---� BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) ,, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK t*-) 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: 9/16/21 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)162 THATCHER SHORE ROAD Owner or Tenant BRADFORD CLARK Telephone No. 5163062467 i Owner's Address 1 HEWLETT PLACE,GLEN HEAD NY 11545 Is this permit in conjunction with a building permit? Yes El No El (Check Appropriate Box) " Purpose of Building DWELLING Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd El No.of Meters crplew Service Amps / Volts Overhead El Undgrd ❑ No.of Meters 5Number of Feeders and Ampacity 2 lT ocation and Nature of Proposed Electrical Work: i , c-tviElio+ FAA 1 t-U, 9_,,,, d 0R1 glootr tzDrI Completion of the following.table may be waived by the Inspector of Wires. No.o ranKVA Total No.of Recessed Luminaires r No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting M No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ..No.of Receptacle Outlets A9, 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 Alerting Devices 3 Tons Heat Pump Number Tons KW No.of Self-Contained c..) Heat of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal❑Municipal 1-1 Other Connection No.of Dryers Heating Appliances KWSecurity Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs 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 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 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this ap lication is true and complete. FIRM NAME: E.F. WINSLOW PLUMBING& HEATING CO., I LIC.NO.:3281C Licensee: RICHARD MELVIN Signature - LIC.NO.:21829A (Ifapplicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-3947778 Address: 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: 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. 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