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Home My WebLink AboutBLDE-22-005888 Official Use Only Commonwealth of Massachusetts Permit No. BLDE-22-005888 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:4/14/2022 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 12 Owner or Tenant Joe Demars Telephone No. Owner's Address 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: Check service&residence for re-activation for new owner. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ In-grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices Local ❑ Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers Heating Appliances KWNo.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent 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 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 LIC.NO.: 17137 Licensee: Edward L Merry Signature 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 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 I PERMIT FEE: $50.00 1 Signature Telephone No. Commonwealth of Massachusetts ��Official Use OZ'nl y� k• i :,!/ Department of Fire Services Permit No. ' 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: 4-11-2022 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 Street unit r?(Ter fi^_-) Owner or Tenant Joe Demars Telephone No. 413-563-3043 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 120R40 Volts Overhead❑ Undgrd 0 No.of Meters 1 New Service Amps Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Safety inspection to get a meter installed by Eversource Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pod Above 0 In- 0 No.of Emergency Lighting grad, grad. Battey Units No.of Receptacle Outlets No.of O7 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 om No.of Alerting Devices No.of waste Disposers Heat Pump Number 1 Tar.: 'ET ":-- _ ------- Totals: Detecuion/Alertlng Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection Security Systems: No.of Dryers Heating AppliancesNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: "__,ys cr.,..?w, mfllasts 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 bupector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 4-11-2022 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 ® BOND 0 OTHER ❑ (Specify:) GENERAL COW.LIABILITY 0624/2022 (Expiration Date) I certify,wider the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Ed Merry Master Electrician Inc. edwar4meerry35 ,gmail.com LIC.NO.:A17137(2145 Al) Licensee: Ed Merry Signature 7 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)❑owner ❑owner's ent. Owner/Agent PERMIT FEE:$ Signature Telephone No.