HomeMy WebLinkAboutBLDE-21-007344 -� aF ( il Commonwealth of Official Use Only
Permit No. BLDE-21-007344
E —
Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
1Rev.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:6/17/2021
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) 12 NORTH MAIN ST
Owner or Tenant MITROKOSTAS SOCRATES Telephone No.
Owner's Address MITROKOSTAS NAFSIKA ELENI, P 0 BOX 260,SOUTH YARMOUTH, MA 02664
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: Rooftop HVAC.
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 1 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/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 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: RICH M MELVIN
Licensee: Rich M Melvin Signature LIC.NO.: 21829
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:8 REARDON CIR,S YARMOUTH MA 026641207 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: $80.00
c-- .7,--r r CNO Se-ON Ita, ige+) - 0
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Commonwealth of Massachusetts Official Use Only
.— Permit No. '73�'LI;;= i_ Department of Fire Services
'=i°(= Occupancy end Fee Checked
DI
�? BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05j (leave blank)
y�lri
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: CM l l i Z i
City or Town of: `j'P,f*i v 41 To the Inspector of Wires:
By this application the undersigned gi es notice of his or her intention to perform the electrical work described below,
Location(Street&Number) I 1-14 IIIul.i 5.k. Se;AAA y„/iiE✓ltl
Owner or Tenant (tn(I ti C(t dg 6441.v? Telephone No. uv j Lrt)
Owner's Address ,t4 W12
Is this permit in conjunction with a building permit? Yes No I Vl , (Check Appropriate Box)
Purpose of Building (0orl ierC:fiii Utility Authorization No.
Existing Service Amps • / Volts Overhead I I Undgrd[ No.of Meters
New Service Amps / Volts Overhead Undgrd No,of Meters
Number of Feeders and Amps city
Location and Nature of Proposed Electrical Work: Ko Of 4-0 p l call- if f , C U,,t t h s al yf7oM
Completion ofthe following table may be waived by the Inspector of Wires.
l
No.of Recessed Luminaires No.of Cell..- p'(Paddle)Fans Susof KVA
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs • Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. II grad. I I Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones
nd
No.of Switches Innf No.of Gas Burners No.IDetection vic
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW als: No.
Devices
No.of Dishwashers Space/Area Heating KW Local1 Municipal I 1 Other
Connection
No.of Dryers Heating Appliances KW Security'Systeins:*
No.of Devices or Equivalent
No.of Water I . No.of No, of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
• No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications 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)
i 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.
CBBCI(ONE: INSURANCE FA BOND ❑ OTHER ❑ (Specify:) ,
I certify,under the pains and penalties of peduty, that the information on this ap Iicafion is true and complete.
FIRM NAME; E.F. WINSLOW PLUMBING &HEATING CO. ell .LIC.NO..328'1 C
Licensee: RICHARD MELVIN Signature LIC.NO.:21829A
1 (If applicable, enter "exempt"in the license number line.) Bps.Tel.No.:5oe-ss4 777a
L Address: a REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Alt.Tel.No,:
N v- *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
I„
required by law. By my signature below,I hereby waive this requirement. lam the(check one) owner _owner's a:ent,
Owner/Agent
Signature Telephone No, PERMIT FEE: l
•
' E.F. Winslow Inspection Department email : inspections@efwinslow.com
of aR TOWN OF YARMOUTH
BUILDING DEPARTMENT
1-3
1146 Route 28, South Yarmouth, MA 02664
MATTACM ESE
508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliottna,yarmouth.ma.us
August 18, 2021
Richard Melvin
E. F. Winslow Plumbing & Heating
8 Reardon Circle
South Yarmouth, MA 02664
Location: Carluccio's Deli, 16 North Main Street, So. Yarmouth
Permit Number: BLDE-21-007344
Dear Richard;
The above noted location inspection failed to pass for the reason(s) listed.
Article 210-63(A) Receptacle required
Article 408-4(A) Circuit I/D'd
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth, Building Department
K. Elliott,
Inspector of Wires