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
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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.