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Home My WebLink AboutBLDE-22-004508 0 ; Commonwealth of Official Use Only i : ,iMassachusetts Permit No. BLDE-22-004508 `'..;:.'• BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked APPLICATION FOR PERMIT TO PERFO 1/RM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC), WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH Date:2/14/2022 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.r of Wires: Location(Street&Number) 29 GROVE ST 4f0- 266-L46/6 z/ Owner or Tenant OLSEN ROBERT G el tet' Owner's Address OLSEN HELEN M, 7 WOODLAND PL, GRANBY, CT 06035-2520 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Existing Service AmpsUtility Authorization No. Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Number of Feeders and Ampacity Overhead 0 Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Replacement furnace. 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 Transformers Total KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In_ g grnd. ❑ grnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: ,Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters N o No.of Ballasts Data Wiring: s No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 ha§exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 :) I certify,under the pains and penalties operjury,that the information on this applicationy is true and complete. FIRM NAME: E F WINSLOW PLUMBING HEATING CO INC Licensee: RICH M MELVIN Signature LIC.NO.: 21829 (Ijapplicable,enter"exempt"in the license number line) 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 A Commonwealth of Massachusetts Official Use Only ,I z Department of Fire Services Permit No. ,? f f Occupancy and Fee Checked $ 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:02/09/2022 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)29 GROVE ST, W. YARMOUTH, MA 02673 Owner or Tenant HELEN OLSEN Owner's Address 7 WOODLAND PLACE, GRANBY, CT 06035 Telephone No. (860)844-8413 Is this permit in conjunction with a building permit? Yes p No ❑✓ (Check Appropriate Box) Purpose of Building SINGLE DWELLING Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity g ❑ No.of Meters Location and Nature of Proposed Electrical Work: FURNACE fk,Lp[a,Le Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus No.of Total p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool AboveIn- No.of Emergency Lighting grnd. r-i grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ,No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: j Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal No.of Dryers ❑Connection ❑Other Y Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Telecommunications Wirin g Total HP OTHER: No,of Devices or Equivalent Estimated Value of Electrical Work: 6240 Attach additional detail if desired,or as required by the Inspector of Wires. (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 I certify,under thepains andpenalties o er u that the information on this ap lication is true and complete • fp rJ', FIRM NAME: E.F. WINSLOW PLUMBING& HEATING CO., I Licensee: RICHARD MELVIN LIC.NO.:3281C Signature LIC.NO.:21829A (If applicable,enter "exempt"in the license number line) Address: 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Bus.Tel.No.:508-394-7778 *Security System Contractor License required for this work;if applicable,enter the license number here: Alt.Tel.No.: 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 1 owner II owner's a_ent. Owner/Agent Signature Telephone No, PERMIT FEE: $ E.F. Winslow Inspection Department email : inspections@efwinslow.corn