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Home My WebLink AboutBLDE-18-003269 Commonwealth of Official Use Only kt® Massachusetts Permit No. BLDE-18-003269 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:12/4/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 28 VERMONT AVE Owner or Tenant TUCKER REBECCA B TR Telephone No. Owner's Address VERMONT AVE REAL ESTATE TRUST,28 VERMONT AVE,WEST YARMOUTH,MA 02673 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: Upgrade wiring. de Completion of the following table rp',! bibiyed by the Inspector of Wires. No.of Recessed Luminaires 'No.of Ceil:Susp.(Paddle)Fans No.of Total i Transf 0 KVA No.of Luminaire Outlets No.of Hot Tubs Generato 2 eVA No.of Luminaires Swimming Pool Above ❑ In- a No.of Emerge � grnd, grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. d.7/e No.of Switches No.of Gas Burners No.of Detection and _ (</5NO Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices _ Tons Pump No.of Waste Disposers41;heat Number Tons KW No.of Self-ContainedTotals: 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 Eouivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Eouivalent OTHER: Attach additional detail ifdesired 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 ❑ 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 Signature q� �i Telephone No. PERMIT FEE: $50.00 LI 14 Commonwealth of Massachusetts ((star Y.5Onh3Z(pq 1,i Department of Fire Services Permit No. 1/4.41, figli BOARD OF FIRE PREVENTION REGULATIONS OccuPaney and Fee Checked 5'.(2"7 [Rev. 1/071 (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: 11-16-2017 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 electrical work described below. Location(Street&Number) 28 Vermont Ave Owner or Tenant Rebecca Tucker Telephone No. Owner's Address same Is this permit in conjunction with a building permit? Yes 0 No •® (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead 0 Undgrd 0 Na of Meters 1 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity # Location and Nature of Proposed Electrical Work: Replace knob and tube wiring with NMC,2 circuits,install arc-fault breaker for the 2 circuits Completion of the following table may be waived by the Inspector of Wires. Na of Recessed Luminaires Na of CeiLSusp.(Paddle)Fans Na of Total Transformers KVA No.of Lighting Outlets Na of Hot Tubs Generators KVA No.of Luminaires Swimming Pod Above ❑ In. ❑ Na of Emergency Lighting grad. 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 Coad. Total om No.of Alerting Devices Na of Waste Disposers Hat Pump Number Tons KW No ofSelfCoatained Totals: Detection/Alerting Devices No.of Dishwashers SpaeeiAra Heating KW Local 0 Maeidpal 0 Other Coaatctioa No.of Dryers Heating Appliances ICW Security Systems: Na of Devices or Equivalent No.of Water KW No of No.of Data Wiring: Heaters Signs Ballasts Na of Devices or Equivalent Na Hydro massage Bathtubs Na of Motors Total 1W Telecommunications Wiring: Na of Device or Equivalent OTHER: Attach addittoaol detail t(deseerl oras required bythe Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start: proposed 11/20/2017 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 certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND 0 OTHER 0 (Specify:) GENERAL COMP.LIABILITY 06242016 (Expiration Date) I ea0jy,ander the paha and penefties ofper/ary,that the lnf enation on Air application is ave and complete FIRM NAME: P.4 Merry Master Electrician Inc. l/9 LIC.NO.:A17137 Licensee: Ed Merry Signature �i( LIC.NO.: 35745E (If applicable,enter"exempt"in the license number line.) 7Bus.TeL No.: 508-2214335 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"8"License:here: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no . • f,Miro—:A a normally required by law. By my signature below,I hereby waive this requirement I am the(check one)❑ •511, el toner's •.11 , Owner/Agent Signature Telephone Na DEC 04 20 riZIEMINIIIMI r 'I LSlI NG DEPA sr By