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Home My WebLink AboutBLDE-18-003514 Commonwealth of OfficialuaeOnly E0Massachusetts Permit No. BLDE-18-003514 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.l/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:12/16/2017 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 electric k described below. Location(Street&Number) 'g6 VENTURA WAY NW -t4s1N cse ,C. Owner or Tenant Iain",..•. . Telephone No. Owner's Address -:'�a.?:i:P-,—:-- ^ -OUTH YARMOUTH,MA 02664 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 lights&receptacles in basement,install receptacles in kitchen. (HOUSE #6) 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 0 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emeie igh V grnd. grnd. BatteryU,t No.of Receptacle Outlets No.of Oil Burners FIRE ALAR I 'o o No.of Switches No.of Gas Burners No.of Detection ani8 /�(J�� Initiative Devices U No.of Ranges No.of Air Cond. TotalNo.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 ❑ Municipal ❑ Other. Connection No.of Systems:* ,�/� No.of Dryers Heating Appliances KW y r�([J No.of guises or F.auivalent 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 Eouivalent 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. I 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: EDWARD L MERRY Licensee: Edward L Merry Signature LIC.NO.: 17137 (If applicable,enter'exempt"in the license number line.) Bus.Tel.No.: Address: 15 CHECKERBERRY LN,W YARMOUTH MA 026733636 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 7Y Signature Telephone No. PERMIT FEE:$75.00 } /re(;679 oto N, s ., Commonwealth ofMassadn>� iii"""' OMNI , / ( ' Vi m'' Department of Fire Services Pumalolo • N i BOARD OF FIRE PREVENTION REGULATIONS Y and Fee Chedad AY -a,, [Rev-1)07j (lent Hark) \\ \ 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 ININC OR TYPE ALL INFORMATION) Date: 12-14-2017 City or Town of South 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) 6 Ventura Way Owner or Tenant Nate and Erin Belanger Telephone No. 7/4-2651267 Owner's Address same Is this permit in conjunction with a building permit? Yes ® No •❑ (Check Appropriate Bos) Purpose of Building Residence Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead N Uadgrd 0 No.of Meters 1 New Service Amps 120/240 Volts Overhead 0 Uudgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Basement Addition(plugsJigbts)l"floor added 3 new kitchen plugs. Completion of the following table may be waived by the I or of Wires. No.of Recessed Luminaires No.ofCea.Smp.(Paddle)Fans No.of Taal Transformers KVA No.ofLighting Outlets No.dna Tubs Generators RVA No.of Luminaire Swimming Pool 'tie 0 le. 0 Na ofEmergency Lighting grad. grad. Battery Units No.of Receptacle Outlets -No.of Oil Barnes FIRE ALARMS No.drones and No.of Switches I( R E C I V L Lz t of Gas Barons Na dmDe�tinu ! ��I�///_y�_ /� ag Devices No.of Ranges ...#1-77— n ft ./\� N of Air Coed Toon NadAlertin Devin Na of Waste Disposes E. 1 J 26 Ilea Pump Number Ton KW NadSdFCaetaned i l Tat Detectimattletiag Devise No.ofDlshwashk UIL D ING DEPART MErr Sp4ce/Area Iletisg KW Local 0 bC l 0 Other Na of Dryers �y — heating Appliances KWN d Drains er Egmak+f No.of Water KW No.of No.of Data Wiriag: Beaten Sign Ballasts No.of Devices or Equivalent No.hydro massage Bathtubs No.ofMoton Total HP Tdeommunieatian Willey Ns.dDevices or Equivalent O171ER: Attach addniwml&sajean*orasrequired bythe brnpersarofWarn I Estimated Value of Electrical Wort (When requited by municipal policy.) Work to Start: 12-14-2017 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 calif]. es that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OIIBR 0 (Specify) GENERAL COMP.LIABILITY 0624/2018 (Expiration Date) I ream ander the pains wed penaltks ofperjwy.ddtheWaiea ea this appendices if buedaemple t FIRM NAME: E•d Merry Master Electrician Inc. �J LIC.NO.:A17137 Licensee: Ed Merry Signature 6444 / LIC.NO.: 35745E (If applicable,enter"exempt"in the license number lint) Bin.Tel.No.; 508-221-4335 Address: 15 Checkerberry lane West Yarmouth.Ma.02673 Alt Tel No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License- . Lie.No. 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)0 owner ❑owner's ent Owner/Agent PERMIT FEE:T Signature Telephone Na