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HomeMy WebLinkAboutBLDE-22-004198 - , Official Use Only ft Commonwealth of Massachusetts Permit No. BLDE-22-004198 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 EASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/27/2022 City or Town of: YARMOUTH To the Inspector of Wires: this application the undersigned gives notice of his or her intention to perform the electrical work described below. cation(Street&Number) 71 DIANE AVE rner or Tenant Jonathan Lowery Telephone No. iner's Address this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) rpose of Building Utility Authorization No. isting Service Amps Volts Overhead 0 Undgrd 0 No.of Meters w Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters imber of Feeders and Ampacity cation and Nature of Proposed Electrical Work: Replacement HVAC. Completion of the following table may be waived by the Inspector of Wires. No.of Total o.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA 'o.of Luminaire Outlets No.of Hot Tubs Generators KVA v ❑ No.of Emergency Lighting to.of Luminaires Swimming Pool Abo grnd e 0 In-grnd. Battery Units lo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ENo.of Zones No.of Detection and lo.of Switches No.of Gas Burners 1 Initiatine Devices No.of Air Cond. 1 Total No.of Alerting Devices Jo.of Ranges Ton Heat Pump I Number I Tons 1 KW No.of Self-Contained To.of Waste Disposers Totals: Detection/Alertine Devices Local. 0 Municipal ❑ Other: 10.of Dishwashers Space/Area Heating KW Connection Security Systems:* Jo.of Dryers Heating Appliances KW No.of Devices or Equivalent 10.of Water No.of No.of Ballasts Data Wiring: K�1' Signs No.of Devices or Equivalent Seaters Telecommunications Wiring: Vo.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent )THER: Attach additional detail if desired,or as required by the Inspector of Wires. 'estimated Value of Electrical Work: (When required by municipal policy.) Vork to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. NSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides goof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage s in force,and has exhibited proof of same to the permit issuing office.HECK ONE:INSURANCE 0 BOND 0 OTHER CI (SPeci (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 LIC.NO.: 21829 Signature Licensee: RICH M MELVIN Bus.Tel.No.: (Ifapplicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:8 REARDON CIRCLE, SOUTH YARMOUTH MA 02664 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OW NER'S INSURANCE WAIVER:I am aware that the License does not liabilityhave❑the o 0 owner's insurance c coverage normally required by law.But my t. signature below,I hereby waive this requirement.I am the(check one) Owner/Agent Telephone No. PERMIT FEE: $50.00 Signature r PpgiE7 p�,, :k ©,� Olt 5��1 u T ow/ye/3- 1 Commonwealth of Massachusetts Official Use Only_= Department of Fire Services Permit No '�22—" e )(_ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked vt� [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: 1/19/21 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)71 DIANE AVENUE S YARMOUTH 02664 Owner or Tenant JONATHAN LOWERY Telephone No. 8452742866 Owner's Address SAME Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) Purpose of Building DWELLING Utility Authorization No. Existing Service Amps / Volts Overhead❑ Und rd l; ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: FURNACE AND A.0 INSTALLATION 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 Rece table Outlets P No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers I Heat Pump I Number [Tons KW No.of Self-Contained Totals:I r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑Connection ❑Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 thepains andpenalties o perjury,that the information on this ap libation is true and complete. IP J Y, f FIRM NAME: E.F.WINSLOW PLUMBING& HEATING CO., I Licensee: RICHARD MELVIN LIC.NO.:3281C Signature LIC.NO.:21829A 0 � (Ifapplicable,enter "exempt"in the license number line.) Address: 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Bus.Tel.No.:506-394-7778 Alt.Tel. (� *Security System Contractor License required for this work;if applicable,enter the license number here:No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally J required by law. By my signature below,I hereby waive this requirement. I am the(check one)Downer Z. Owner/Agent I owner's agent. Signature Telephone No. I -,) P PERMIT FEE: $ E.F. Winslow Inspection Department email : inspections@efwinslow.com The Commonwealth of Massachusetts Department of Industrial Accidents i 9 _,z 'l= � Office of Investigations Y Lafayette City Center = 2 Avenue de Lafayette, Boston,MA 02111-1750 `,M ,`' www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: E.F. WINSLOW PLUMBING & HEATING CO, INC. Address: 8 REARDON CIRCLE City/State/Zip: SOUTH YARMOUTH, MA 02664 Phone#: 508-394-7778 Are you an employer? Check the appropriate box: Business Type(required): 1.© Lam a employer with 90_ __ employees (full and/ 5. ❑Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. 0 Office and/or Sales (incl. real estate, auto, etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4), and we have 10.❑Manufacturing no employees. [No workers' comp. insurance required]** 11.0Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:ARROW MUTUAL INSURANCE COMPANY Insurer's Address: City/State/Zip: Policy#or Self-ins. Lic. #1964A Expiration Date:01/01/2022 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under § 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce the ins and penalties of perjury that the information provided above is true and correct. 01/02/2021Simahare: y'4' .......01...... Date: Phone#: 508-394-7778 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 2.0 Building Department 3.❑City/Town Clerk 4.❑Licensing Board 5.0 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia