HomeMy WebLinkAboutBLDE-23-001757 Commonwealth of Official Use Only
f��. n Massachusetts Permit No. BLDE-23-001680
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:9/28/2022
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 9
Owner or Tenant THE TIME SHARE ESTATE TRUST Telephone No.
Owner's Address 1 ARDELL RD, BRONXVILLE, NY 10708
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building 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: Inspection for new service. (UNIT#9)
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
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/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 Ballasts Data Wiring:
Heaters Siens 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 ofperjury,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 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:$50.00
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T' -_ Commonwealth of Massachusetts Official Use Only
' Department of Fire Services Permit No. L.-��j CA,Q
'� f 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: 9-26-2022
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 9
Owner or Tenant Englewood Beads Condominium Association Telephone No. 617-771-1666
Owner's Address 60 Broadway St.West Yarmouth,MA 02673
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 0 Undgrd® No.of Meters 1
New Service Amps Volts Overhead 0 Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Safety Inspection for a new meter.
Completion of the following table may be waived by the Inpector 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
Above ❑ In- ❑ No.of Emergency Lighting
No.of Luminaires Swimming Pool
tad• grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Mr Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Deteetion/Alertiag Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal
Connection CI Other
No.of Dryers Heating Appliances
KW Security Systems:
No.of water , No. No. Na of Devices or Equivalent
Heaters of of Data Wiring:
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 ifdesirea ar as requited by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy)
Work to Start: 9-27-2022 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 N BOND 0 OTHER 0 (Specify) GENERAL COMP_LIABILITY 0624/2023
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete (Expiration Date)
FIRM NAME: Ed Merry Master Electrician Inc. edwardmerry35(I,gmail.com LIC.NO.:A17137(2145 Al)
Licensee: Ed Merry e�
Signature / LIC.NO.: 35745E
(If applicable,enter`exempt„in the license number line.) Bus.Tel.No.:Address: 15 Checkerberry lane West Yarmouth.Ma. 02673 requires Department of Public Safety"S"License:here: Lie.No.No.: 5 Og-2z1-433s
Alt Tei
*Per M.G.L.c. 147,s.57-61,security work
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 t
Owner/Agent
Signature Telephone No. PERMIT FEE:$
riI Commonwealth of Official Use Only
�..TI►, ` Massachusetts Permit No. BLDE-23-001757
ri
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:10/3/2022
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 1
Owner or Tenant ENGLEWOOD CONDO'S ASSOCIATION Telephone No.
Owner's Address 55 JODI DRIVE,WALLINGFORD, CT 06492-2846
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building 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: Replace existing F.A.C.P.with new Firelite&add smoke detector.
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 4
No.of Switches No.of Gas Burners No.of Detection and 1
Initiati.ne Devices
No.of Ranges No.of Air Cond. Ton l 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 Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens No.of Devices or Eauivalent
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 ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: BRIAN REZENDES
Licensee: BRIAN REZENDES Signature LIC.NO.: 22213
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:7 GOELETTE DR, PLYMOUTH MA 023601228 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 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:$115.00
... ...... .. .. .. .......... .
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_.'_ Qe� 3 �O��o» no satin or f rtmorautoslfd Official Use Only
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— �t1 l NCR rlT i� {, Permit No. E2-5�' 7 /
_ - ■ I' Wt (,I�G T a.ar n�o crs Services
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Occupancy and Fee Checked
• "`•. ='= - a OF FIRE PREVENTION REGULATIONS ev. 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 7�' EALL INFORMATIOA9 Date: 9 i�o �0 0aa
City or Town of: '` ( )\-., 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) 6( e< J WO J
I
Owner or Tenant Telephone No. 35��
Owner's Address eft Y j v�(7 oZ�
54_
Is this permit in conjunction with a building permit? Yes ❑ No
ig y1m2,(4g` (Check Appropriate Box)
Purpose of Building C
CspAc�.0 S Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters
New Service _._ Amps / Volts Overhead❑ Undgrd 0
No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: PAec.ie e r
V.1,4- 4 7o„e, lrow UP f CACP . ► Aran 6, � ,r��� to`'�1�1 �.
u - _- Completion of the following table may be waived!bye 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- Ito.of l!mergency Lighting
grnd. grad. ❑ Battery Units
No.of Receptacle Outlets - No.of Oil Burners i FIRE ALARMS +No.of Zones
No.of Switches No.of Cas Burners 1No,of Detection and
Initiating Devices I
No.of Ranges No.of Air Cond. Total
Tons No. of Alerting Devices
No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained
Totals: -- "�' —'-- --~---- Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal V1
Connection y�No.of Dryers Heating Appliances KW Security Systems:* Other
•
No.of Water No of No.of Devices or Equivalent
Heaters KW . No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors • Total HP Telecommunications Wiring:
OTHER: No.of Devices or Equivalent
Estimated Value of Electrical Work 78, an, Attach additional detail if desired,or as required by the Inspector of Wires.
Work to Start: i /�� r (When required by municipal policy.)
a0aa 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 in:;urance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage:;s in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 121 BOND 0 OTHER. 0 (Specify:)
I certify,under the pains and penalties o l oer'u'Y, that the information on this application is true and complete.
FIRM NAME:
A1.4 pi i.1 , • O 1.<G
Licensee: � ,l LTC.NO.: 2� -�
---r---- ,�ae S Signature • LIC.NO.: ( ,
alapplicable,gpter exempt to he 1 nse n:n bet 1 e j
Address: (oG� Bus.Tel.No.: - 4$
*Per;vI.G.L c. 147,s 57-61,security work requires e f „ „ Alt.Tel.No.: _ (
OWNER'S INSURANCE WAIVER: pai'tment of Public Safety S License: Lic.No.
I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signatpre below,I hereby waive this requirement. I am the(check one)❑owner
gnat re
l`---T . _ Telephone No. r '
•
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