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Home My WebLink AboutBLDE-22-001603 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001603 4I__ 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:9/21/2021 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 w rk described below. Location(Street&Number) 50 BALSAM WAY r —LSC-O(l Owner or Tenant T Telephone No. Owner's Address 50 BALSAM WAY,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Apyckciate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 o. 1k7 ip New Service Amps Volts Overhead ❑ Undgrd 0 f • Number of Feeders and Ampacity Co Location and Nature of Proposed Electrical Work: Remodel 1st floor bathroom&add sub panel. e/4, .e Completion of the following table may be ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of oral Transformers ,? , VA No.of Luminaire Outlets No.of Hot Tubs Generators / VA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting ?..1 grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc 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 Siens 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 Commonwealth of Massachusetts Official Use Only 1i- / Permit No. e/��t 5 r"I-,0 Department of Fire Services k,__I(__ Occupancy and Fee Checked "*.�.J 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 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/15/21 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)50 BALSAM WAY,YARMOUTHPORT Owner or Tenant CHRIS HANSEN Telephone No. 2068567967 Owner's Address SAME Is this permit in conjunction with a building permit? Yes ❑ No ❑✓ (Check Appropriate Box) Purpose of Building DWELLING Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters ('1 New Service Amps / Volts Overhead U Undgrd U No.of Meters vi Number of Feeders and Ampacity l� p. - M I Location and Nature of Proposed Electrical Work: st� o. Nil, ff,vM A)f)t y1 Is,;l3 ..Iv'gr pfii✓ Ln Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets / No.of Hot Tubs Generators Q KVA ppp No.of Luminaires Swimming Pool AboveIn- No.ofEmergency Lighting grnd. r-i grnd. ❑ Battery Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Totallo.of Ranges tJ No.of Air Cond. Tons l 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No fDevices or Equivalent of Devices Equivalent i 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. Z 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)❑owner n owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. E.F. Winslow Inspection Department email : inspections@efwinslow.com - -- �� '-- �� r~~ �_ =�~ ` ` ��~� `- . ` .� , � . � ^.' '� . ' � /� ` ` `'� ' - .-� � �� ' � '. � ` ' ' ` ' '` ' . � ' , . � � � � � _ � _ � � . / � � -___' ____ ' _-_�� -. �__--___ __ � __~_ , _' _ _-- -_____- ___'___ -.-_-~� = _�___---__ .. ' � ` �� ' ' ' � ^ - ~ . ' _ ' ' ' ' ` . -- ----' --- �� --- -�-- ---- --- ' ''------- ' - -- --' ---_ _ .-_�>��` --__ � ' . ' '