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Permit No, BLDE-18-001685
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
1Rev.1/071
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:9/22/2017
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below.
Location(Street&Number) 60 BROADWAY UNIT 19 •
Owner or Tenant THE TIME SHARE ESTATE TRUST T t sp
Owner's Address 1 ARDELL RD, BRONXVILLE,NY 10708
Is this permit in conjunction with a building permit? Yes 0 N •v e .p. to Box)
Purpose of Building Utility Authoriz. A
Existing Service Amps Volts Overhead 0 Undgrd +
New Service Amps Volts Overhead ❑ Undgrd ❑ 'j 'rift
Number of Feeders and Ampacity �•T//� /�
Location and Nature of Proposed Electrical Work: Safety inspection&upgrade GFCI receptacles C N0 c ����
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 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Ton.
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 ❑ 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 Siens Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total IIP 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 ❑ BOND ❑ 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
(Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No.:
Address: 15 CHECKERBERRY LN,W YARMOUTH MA 026733636 Alt.Tel.No.:
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lib+Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: t
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.`
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
en.. Put t4c/,7 ,cg., mal-02.11- 22822.19
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lh1 Commonwealth of Massachusetts Official UsC Ony/ ,Q
i Department of Fire Services Permit No. �? 18 / 1 to g�
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Ali'+f s` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
�` [Rev. 1/07] (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: 9-18-2017
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) 60 Broadway unit 19
Owner or Tenant Englewood Beach Condo Association cesidio Massaro Telephone No. 617-548-1549
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No •® (Check Appropriate Box)
Purpose of Building Condo Unit Utility Authorization No.
Existing Service 100 Amps 120/208 Volts Overhead E) Undgrd 0 No.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: Safety inspection for power restoration. Smoke changed Kitchen plugs
Changed to afci/gfci protected Laundry receptacle changed to agci/gfci
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceii.Smp.(Paddle)Fans No.of Total
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No of Emergency Lighting
grnd. grad. Battery Units
No.of Receptacle Outlets No.of Oil Boners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating 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/Alerting Devices
No.of Dishwashers Space/Ara Hating KW Loco 0 C eicipal 0 Other
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.Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No of Devicesor Equivalent
r
OTHER: RECEIVED
Attach additional detail!Peaked oras reouired by the inspector of Wires.
Estimated Value of Electrical Work (When required by municipal policy) �� 2U17 fl
Work to Start: 9-20-2017 Inspections to be requested in accordance with MEC Rule 10,and upon ro �/f
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical wor:mz y issit&unlessthe)i 1g)
proof of liability insurance including"completed operation"coverage or its substantial equivalent The undesighS-&i41ft iter o�eng:is in
force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify) GENERAL COMP.LIABILITY 0624/2018
(Expiration Date)
I certify,under the pains and penakla of perjury,thank(information on this application hr mrs and complete
FIRM NAME: Ed Merry Master Electrician Inc. /LIC.No.:A17137
Licensee: Ed Merry Signature �� LIC NO.: 35745E
(Ifapplicable,enter"exempt"in the license number line.) Bus.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"S"License:here: Lia 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 ant the(check one)0 owner 0 owner's ent.
Owner/Agent PERMIT FEE:$
Signature Telephone No.