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HomeMy WebLinkAboutBLDE-18-001684 Commonwealth of Official Use Only E` ►` Massachusetts Permit No. BLDE-18-001664 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cole (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TY PE ALL INFORMATION) Date:9/2 City or Town of: YARMOUTH To - II • . fJs40 s: By this application the undersigned gives notice of his or her intention to pertorm the electrical work de �••r.,.w Q Location(Street&Number) 60 BROADWAY UNIT 15 Owner or Tenant THE TIME SHARE ESTATE TRUST t•ee. a Owner's Address 1 ARDELL RD,BRONXVILLE,NY 10708 / , II' Is this permit in conjunction with a building permit? Yes ❑ No 0 (C V Es,' r.t 4,x) Purpose of Building Utility Authorization No. (LJ e Existing Service Amps Volts Overhead 0 Undgrd 0 Ni * �j�jj'y [ ,� New Service Amps Volts Overhead ❑ Undgrd 0 No.o s Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: Safety inspection&upgrade receptacles 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 Tons _ No.of Waste Disposers Cleat Pump Number Tons KW _ No.of Self-Contained Totals: Detection/Alertine 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 Signs Ballasts No.of Devices or Equivalent No.hydromassage Bathtubs No.of Motors Total HPTelecommunications Wiring: INo.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: 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 LW,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: �qu OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But (f C`w" signature below,I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent. tut 1 ('(L.t0n1 Owner/Agent _ (�" Signature Telephone No. PERMIT FEE: $50.00 oLO P P�,e. 0/x/47 M& Z233z/ro It 1LC17/,3(refl •-p1 ,'\ 0'NY( 1,Q�'� Commo wealth of Massachusetts ' at Use ly Department of Fire Services Permit No. t) t r0 U� llir BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1R)7l (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 15 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® Undgrd 0 No.of Meters 1 New Service Amps Volts Overhead 0 Undgrd 0 Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Safety inspection for power restoration. Smokes changed Kitchen plugs Changed to afci/gfci protected Laundry breaker changed to agci/gfci Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiLSusp.(Paddle)Fans No.of Total Transformers INA No.of Lighting Outlets No.of Hot Tubs Generators INA No.of Luminaires Swimming Pool Above ❑ ice- ❑ No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na of Gm Burners No.of Detection and Initiating Devices Na of Ranges Na of Air Cond. Total Na of Alerting Devices ns No.of Waste Disposers Heat Pump Number Tons ^,. KW No.of SelfContained Totuls: Deteetioe/Alerting DevicesNo of Dishwashers SpaeeArea Hntiig KW Land 0 Manidpal ❑ Other Connection No.of Dryers Heating Appliances 11W Security Systems: No of Devices or Equivalent No.of Water 2 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 ttsnrEnuiivvalent _ OTHER: f � °.e E I V E 0 � - Attach additional detail ifdesired oras byte Inspector of Wiresl Estimated Value of Electrical Work (When required by municipal policy.) ,,c(� pp Work to Start: 9-20-2017 Inspections to be requested in accordance with MEC Rule 10,and u p1016h. 21 201771/ r INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work less theJicenro i.es proof of liability insurance including"completed operation"coverage or its substantial equivalent. The anti i \ Vtaf'S1 ife0Yefgg is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specify.) GENERAL COMP.LIABILITY 06/24/2018 (Expiration Date) I err*,under the paha and penalties of perjury,that the Information on this application Is ave and eongtt FIRM NAME: Ed Merry Master Electrician Inc. Qhid LIC.Na:A17137 Licensee: Ed Merry Signature �� ...../it LIC.NO.: 35745E (If applicable,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: ere: 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 am the(check one)0 owner 0 owner's ent Owner/Agent PERMIT FEE:$ Signature Telephone No.