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Home My WebLink AboutBLDE-21-006621 . Commonwealth of Official Use Only � Massachusetts Permit No. BLDE-21-006621 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:5/17/2021 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) 1 DEBS HILL RD Owner or Tenant MESQUITA THERESA L Telephone No. Owner's Address 1 DEBS HILL RD, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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 Air Conditioner 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 rnd e ❑ In- ElNo,of Emergency Lighting g 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$50.00 I Commonwealth of Massachusetts Official Use Oel _;Ant Department of Fire Services Permit No. c,-11 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked "^p•.�.. [Rev.9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance-with the Massachusetts Electrical Code(NEC),527 CMR 12.0E (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/ /Z City or Town of: ytn/fYIptJ 1-i- To the Inspector of Wires: By this application the undersigned ives notice of his or er intention to perform the electrical work described below, Location(Street&Number) l .�K!5 1 J t�(I X. vit y o f f t PQ`I- ow-2 S Owner or TenantT(r C( c e. q v! Telephone No. SO 5 5t Z tit Owner's Address S6 wit G Is this permit in conj action with a building permit? Yes n No ri"----(heckAppropriate Box) Purpose of Building eltt Utility Authorization No. Existing Service Amps . / Volts Overhead I I Undgrd n No.of Meters New Service Amps / Volts Overhead 1 1 Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A`C - (ii/5914 blat014 Completion of the following table may be waived by the Inspector of Wires, No. • No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers No,of Luaninaire Outlets No.of Hot Tubs • Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grad. n grad. 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 Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 Municipal I I Other Conaection No.of Dryers Heating Appliances IOW Security'Sypstems:* No.of Devices or Equivalent No.of Water No.of No, of Heaters IOW Signs Ballasts Data Wiring:t? No.of Devices or Equivalent No.hydrornassage 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 ofpedury, that the infonnatlon on this ap lication is true and complete. FJf,RM NAME; E.E. WINSLOW PLUMBING & HEATING CO., I .LIC.NO.:3281 C Licensee: RICHARD MELVIN Signature LIC.NO,:21829A C --- ,Sc/ (If applicable, enter "exempt"in the license number line) 5 -39q�7778 • Address; 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02e64Alt 04e Bps.Tel.No,: 09 L/\ M *Security System Contractor License required for this work; if applicable,enter the license number here:l.No„ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally �. Lj. required by law, By my signature below,I hereby waive this requirement• . I am the(check owner "owner's a t ent, N Owner/Agent one)I..,�.___ r, Signature Telephone No, PERMIT FEE: $ 1 E.F. Winslow Inspection Department email: inspections@efwinslow.com