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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 fttttff&ary tiL(i Qb)/'z-f