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Home My WebLink AboutBLDE-21-006893 Commonwealth of Official Use Only ten No. BLD E-21-006893 E Massachusetts C'9 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:5/27/2021 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) 15 FOREWIND RD Owner or Tenant David Alberico Telephone No. Owner's Address 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: Install NC 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 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 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 . 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 Only Permit No. 7,__to_ Department of Fire Services Occu anc e�=�_�=� p Y and pee Checked v,,.�`� BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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 INK OR TYPE ALL INFORMATION) Date: 5f21 [21 City or Town of: rn11110 Oki To the Inspector of Wires: By this application the undersigned gives notice of hispor her intention tovrperform the eeleo,Heal work described below, Location(Street&Number) 15 Cottal i ito R d Y4f✓NL0c/l /o * d(.(9 7 f Owner or Tenant &did- be/r GU Telephone No. 6V U S 275'275 Owner's Address 5 yid, Is this permit in conjunction with a building permit? Yes I I NoheckAppropriate Box) Purpose of Building 1 Utility Authorization No. Existing Service Amps . / Volts Overhead I I Undgrd n No.of Meters New Service Amps / Volts Overhead I I Undgrd I I No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: A ,C rrV1 S tq,`lp/ (O'//! Completion of the followin, table may be waived by the Inspector of Wires, No.• of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Toof T TransTransformersKVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grnd. I�I grnd. I I 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. Total No.of Alerting Devices Tons g 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 I I Municiponnectialon I I Other C No.of Dryers Heating Appliances KW Security'Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: S' Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Attach 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 ifs 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 FA BOND ❑ OTHER ❑ (Speoifye) S_ I certify,ander the pains and penalties ofpeijury, that the information on this ap licatiorr is true and complete. FIRM NAME; E.F.WINSLOW PLUMBING &HEATING CO., f .LIC.NO.:32810 N Licensee; RICHARD MELVIN Signature LIC.NO.:21829A ,M (If applicable, enter "exempt"in the license number line) Bus.Tel.No,:508-3947778 UN Address; 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Alt.Tel.No,: lV *Security System Contractor License required for this work; if applicable,enter the license number here: --.Z.: 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. PER.N.IIT FEE: $ E.F. Winslow Inspection Department email: inspections@efwinslow.com