HomeMy WebLinkAboutBLDE-23-000264 ill
. o\L-1 Commonwealth of Official Use Only
!?C rMassachusetts Permit No. BLDE-23-000264
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:7/18/2022
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) 51 COVE RD .
Owner or Tenant ONEIL ROBERT Telephone No.
Owner's Address ONEIL MICHELLE,6 ANDOVER COUNTRY CLUB LANE,ANDOVER, MA 01810
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: Split NC(Garage)&replacement 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 Above ❑ In- 0 No.of Emergency Lighting
grnd. grad. 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. 2 Total No.of Alerting Devices
Tons .
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 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 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
(9 (o1 ' '4(
Commonwealth of Massachusetts Official Use Only Q
* 3 2-0-,
�� �t Permit No.
,- _ , Department of Fire Services
Occupancy and Fee Checked
t �� BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank)
•,a.�ssn
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:7/12/22
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)51 COVE ROAD,WEST YARMOUTH
Owner or Tenant ROBERT ONEIL Telephone No. 9788862662
1,1
1 'J Owner's Address SAME
Is this permit in conjunction with a building permit? Yes El No ❑✓ (Check Appropriate Box)
J Purpose of Building DWELLING Utility Authorization No.
'^/ Existing Service Amps / Volts Overhead ElUndgrd❑ No.of Meters
t., New Service Amps / Volts Overhead El Undgrd❑ No.of Meters
J Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: AIR HANDLER&CONDENSER REPLACEMENT&
NEW MINI SPLIT(GARAGE)
J� Completion of the following table may be waived by the Inspector of Wires.
Total
1(- No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.ofKVA
Transformers KVA
Oa No.of Luminaire Outlets No.of Hot Tubs Generators KVA
swimmingPool Above In- No.of Emergency Lighting
1 No.of Luminaires grnd. ❑ grnd. ❑ Battery Units
V 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
Tota
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
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local Municipal ❑Other
P ❑Connection
No.of Dryers Heating Appliances KW Security Systems:*
ry No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring
y g 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
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-394-7778
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)El owner n owner's agent.
Owner/Agent (PERMIT FEE: $
Signature Telephone No.
E.F.Winslow Inspection Department email : inspections@efwinslow.com