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Home My WebLink AboutBLDE-22-000478 I* Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-000478 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:7/26/2021 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) 721 WILLOW ST Owner or Tenant CASALI JOHN A Telephone No. Owner's Address CASALI SUZANNE M, 2 JAMES RD, STERLING, MA 01564 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: Air conditioning system. 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. grnd. 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 0 Municipal ❑ 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. PERMIT FEE: $50.00 ci' c g2vuere, z. Commonwealth aMassachusetts Official Use Only ►nn•= 5-J`-'i` t ^i=/li= Permit No. tJ'1 Department en t of Fire Services °� =�t� BOARD OF FIRE PREVENTION REGULATIONS Occupancy andl�eeCheciced +rt.. [Rev.9/135] (leave blank ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PL.iJASE_PRINT IN_MK OR TIP ALL INRORMATION City or Town of: � Date:. � �0 � 2 +` Al r J 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) Z 1 i J�0., Si' Owner or Tenant aoki1 k �. Ir /12 UI/ ? t)L b�y Owner's Address IMMIX�� - etTelephone No. �j p�7 /1 y�� Is this permit in conjunction with a building per ' ? Yes 1 s 6 • Purpose ofBuilding l ' ❑ No (ChecicAppropriate Box) Utility Authorization No. Existing Service Amps • / Volts Overhead New Service E• 'On dgrd No.of Meters/ Volts Overhead1ff Number of Feeders and Anipacity Undgrd �J No,of Meters Location and Nature of Proposed Electrical'Work: C r rt.5 SCA tl�h d,� Thtionothe ollowin.table in, be waived b the Ins.ector o Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Vans No.of Total • No, of Luminaire OutletsTransformers RVA of Hot Tubs Generators KVA No. No.of Luminaires SwimmingPool Above In- `o.o i*r Units igi-ung :rnd• :rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No,of Switches No.of Gas Burners No. of Detector'and No.of RangesInitiatin• Devices No. of Air Cond. ota - Tons No.of Alerting D evices No.of Waste Disposers Beat Pump Number Tons KW Totals: De of Self-Contained No.of Dishwashers Detection/Alm-tin!Devices Space/Area Heating ICW Local Ctuniectio No.of Dryers Heatin A fiances Connection U Other • g pp KWSecurity'Sppsterns:* No.of Water Z�W No. of No.of Devices or B.uivalent BeatersNo, of Data Wiring: Si ns Ballasts No.of Devices or B.uivalent No. of Motors Total HPTelecommunications Wiring • No.I�(ydromassage Bathtubs OTHER: No,of Devices or E.uivalent Attach additional detail if desied,or as required by the inspector of Wires. Estimated Value of Electrical Work: Work to Start; (When required by municipal policy,) zNSto Start; Inspections to be requested in accordance with MEC Rule 10,and upon completion. COVERAGE:,GE: -Unless waived by the owner,no permit for the per'for'mance of electrical work may the licensee provides proof of liability insurance including"completed operation"coverage or ifs substantial equivalent. undersigned certifies that such coverage is In force, and has exhibited proof of same to the permit issuingoffice, issue unless CIIECI(ONLY; INSURANCEcl valent. The Icerti 0 BOND [] OTHER ❑ (Specify:) �- .ly,under the pains andpenalties ofperjrr1J'r that the information on this ap'lication is true and complete. EZRIY.i lawn; E.F. WINSLOW PLUMBING & HEATING CO,, I o0 60 Licensee; RICHARD MELVIN p » .LIC.N0.;328'1 C v) (liapplicable, eater "exempt"in the license number line.) Signatur'a// _ LIC.No,:21829A (v Address; e REARuoN CIRCLE SOUTH YARMOUTH,MA 02664 r Security System Contractor License required for this work;if applicable,enter the license number here:Tel.No.:50e-ss_____ ------- OWNER'SJ[NSifJZZANCE WAIVER: Alt.Tel.No,; 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/Agent Signatureowner'jar ner''s a curt, Telephone No, -r'. XT FRE: $ C.F. Winslow Inspection Department email: inspections cr efwinslow.co . m