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Home My WebLink AboutBLDE-23-19530 9/20/23,2:51 PM about:blank Commonwealth of Massachusetts v - Y4 * o Town of Yarmoutha� k t fi O ~ a. y ELECTRICAL PERMIT Job Address: 570 WEST YARMOUTH RD Unit: Owner Name: BEDFORD WARREN TUOHY-BEDFORD MAUREEN Owner's Address: 570 W YARMOUTH RD Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19530 Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters: New Service Amps L Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Install exhaust fan in bathroom. No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: September 20, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: EDWARD L MERRY License Number: 17137 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W YARMOUTH, MA, 026733636 W YARMOUTH MA 026733636 Fee Paid: $50.00 Email: edwardmerry35@gmail.com Business Telephone: 508-221-4335 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. INSURANCE: Oe/ b tt(-711-5W 69/1/ GP-a iN Ogiv?c4 about:blank 1/1 Commonwealth of Massachusetts Official Use Only it-# Departmenttr23-- t`-tcJ of Fire Services Permit No. f wig-7 Ci =_— tt =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: 9/20/2023 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) 570 West Yarmouth Rd Owner or Tenant Warren Bedford Telephone No. 508-280-8665 Owner's Address same Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building residence *❑x (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps Volts Overhead❑ Undgrd g 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install bath exhaust fan 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 0 In- CINo.of Emergency Lighting grnd. grnd. 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 Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons i KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems: No.of Water No.of Devices or Equivalent 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: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: 9/19/2023 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 COMP.LIABILITY 06/24/202] I certify,under the pains and penalties of perjury,that the information on this application is true and complete (Expiration Date) FIRM NAME: Ed Merry Master Electrician Inc. r �f LIC.NO.:A17137 Licensee: Ed Merry Signature ''' (If applicable,enter "exempt"in the license number line.) / LIC Tel NO.: 35745E Address: 15 Checkerberry lane West Yarmouth,Ma. 02673 Bus.Tel.No.: 508-221-4335 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:here: Alt.Tel. 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 ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ I