HomeMy WebLinkAboutBLDE-22-000080 0Official Use Only
0
filA Commonwealth of
Massachusetts Permit No. BLDE-22-00008
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.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
LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Inspector7/2021of Wires:
City or Town of: YARMOUTH
this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
)cation(Street&Number) 102 ASTOR WAY Telephone No.
wner or Tenant Rose Conzolli
wner's Address 102 ASTOR WAY, S YARMOUTH,MA 02664 Appropriate Box)
this permit in conjunction with a building permit? Yes ❑ No 0 (Check
arpose of Building Utility Authorization No.
Volts Overhead 0 Undgrd 0 No.of Meters
xisting Service Amps
—
ew Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
umber of Feeders and Ampacity
ocation and Nature of Proposed Electrical Work: Bathroom remodel.
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
vo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs
Generators KVA
No.of Emergency Lighting
No.of Luminaires Swimming Pool grad e 0 grnd.❑ Battery Units
No.of Receptacle Outlets 1
No.of Oil Burners i FIRE ALARMS INo.of Zones
No.of Detection and
No.of Switches 1 No.of Gas Burners Initiatine Devices
Total No.of Alerting Devices
No.of Ranges No.of Air Cond. Tons
No.of Waste Disposers
Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alertine Devices
Local 0 Municipal ❑ Other:
No.of Dishwashers Space/Area Heating KW Connection
Security Systems:*
No.of Dryers Heating Appliances KW No.of Devices or Equivalent
NoNo.of No.of Data Wiring:
He Water KW Siens Ballasts No.of Devices or Equivalent
Heaters Telecommunications Wiring:
No.Hydromassage Bathtubs
No.of Motors Total HP No.of Devices or Equivalent
OTHER:
— Attach additional detail if desired,or as required by the Inspector of ires.
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 EssuinR ❑g office. (Specify:)
CHECK ONE:INSURANCE 0 BOND 0
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: EDWARD L MERRY LIC.NO.: 17137
Signature
Licensee: Edward L Merry Bus.Tel.No.:
(If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:
Address: 15 CHECKERBERRY LN,W YARMOUTH MA 026733636 ��
*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 theoliability ins ranee cagent.v e normally required-1
0
signature below,I hereby waive this requirement.I am the(check one)
OwnerlAgentPERMIT FEE: 1
Telephone No.
Signature `(po/ C-1 6) )
kerX q(742A 'I '
4. - crz5i) ALL, 4 IzikkA
Commonwealth of Massachusetts Official Use Only
t' ' , _ � Department of Fire Services Permit No. 063O
't"i 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: 7-4-2021
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) 102 Astor way
Owner or Tenant Rose Conzolli Telephone No. 310-386-5784
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No *431 (Check Appropriate Box)
Purpose of Building residence 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: Bath heater fan,bath plug,light and switches
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. Tonka No.of Alerting Devices
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 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 if desired or as required by the inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 7-4-2021 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 06/24/2022
(Expiration Date)
I certify,under the pants and penalties of perjury,that the information on this application is true and complete
FIRM NAME: Ed Merry Master Electrician Inc. edwar e 3 J ' .com c.NO.:A17137(2145 Al)
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 ent.
Owner/Agent PERMIT FEE:S
Signature Telephone No.
oi'YRRTOWN OF YARMOUTH
'k '; r;-� 4o BUILDING DEPARTMENT
o - r'4-7,,..- , 1146 Route 28, South Yarmouth, MA 02664
k.kA MAT TA F1 CSE . 508-398-2231 ext. 1263 Fax 508-398-0836
`• K. Elliott, Inspector of Wires
kelliott(avarmouth.ma.us
September 2,2021
Edward Merry
15 Checkerberry Lane
West Yarmouth, MA 02673
Location: 102 Astor Way, South Yarmouth
Permit Number: BLDE-22-000080
Dear Eddie,
The above noted location inspection failed to pass for the reason(s) listed.
Article 210-52 (D) Receptacle required
beside sink.
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth, Building Department
K. Elliott,
Inspector of Wires
Elliott, Ken
Subject: certificate of occupancy bayberry and bass river golf courses
Location: west yarmouth road and 62 highbank road
Start: Fri 9/17/2021 12:00 AM
End: Sat 9/18/2021 12:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Inkley, Brad
Required Attendees: DiBenedetto, Mark (MDiBenedetto@yarmouth.ma.us); Elliott, Ken; Grylls, Mark; Huck,
Kevin; Moriarty, Jason; Renaud, Philip
The building department is schedule for a inspection contact info Scott Gilmore 774-212-9286
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