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Home My WebLink AboutBLDE-20-005444 Commonwealth of Official Use Only r Massachusetts Permit No. BLDE-20-005444 -'� � \�-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:4/16/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 76 HEMEON DR Owner or Tenant KILLEN ROBERT E Telephone No. Owner's Address 76 HEMEON DR,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr i do •Aox) / Purpose of Building Utility Authorization No. (s.1..) �� Existing Service Amps Volts Overhead 0 Undgrd 0 M1`� O New Service Amps Volts Overhead 0 Undgrd 04. 0 � i i • s ignmQ. Number of Feeders and Ampacity •��/pi/Location and Nature of Proposed Electrical Work: Basement addition, bathroom, laundry,work out room, &split " . O 0 'Completion of the following table may be waived by I , . Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of i t� Transformers ` 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 Initiatine 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/Area Heating KW Local ❑ Municipal 0 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 Stens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 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 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 Signature Telephone No. PERMIT FEE: $125.00 Commonwealth of Massachu- O rcial Use Onl �s20-- —�4 4 J,,,.____= setts Permit No. L tr '— 1 Department of Fire Services Occupancy and Fee Checked 11jRev. 1/07] ,, ,,,".' BOARD OF FIRE PREVENTION (leave blank) . REGULATIONS 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: 4-12-2020 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) 76 Hemeon Way Owner or Tenant Rob and Loraine Killen Telephone No. (508)394-4020 Owner's Address Is this permit in conjunction with a building permit? Yes 0 No *x® (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service 100 Amps 120/240 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: Basement addition,Bathroom/Laundry,workout room.AC minisplit wiring 40o0strT- 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 Lighting Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.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 Cond. TOaI No.of Alerting Devices Tons No.of Waste Disposers HaNumber t Pump Y Tons - No.of Self-Contained Totals: M..._ .-.-.- - Detection/Alerting Devices No.of Dishwashers Space/Area Heating ICW Local ❑ Municipal 0 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.Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesires(or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 4-10-2020 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 ® BOND 0 OTHER 0 (Specify:) GENERAL COMP.LIABILITY 06/24/2020 (Expiration Date) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: Ed Merry Master Electrician nc. LIC.NO.:A17137 Licensee: Ed Merry Signature LIC.NO.: 35745E (If applicable,enter "exempt"in the license number line.) Bus.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:here: Lic.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 agent. Owner/Agent Signature Telephone No. PERMIT FEE:S .11•••