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HomeMy WebLinkAboutBLDE-23-002327 Commonwealth of Official Use Only el. ,:s41 Massachusetts Permit No. BLDE-23-002327 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:10/31/2022 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 THE TIME SHARE ESTATE TRUST Telephone No. Owner's Address 1 ARDELL RD, BRONXVILLE, NY 10708 r/0 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approptiate Box)(/Z , Purpose of Building Utility Authorization No. 171 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. (JOE DeMARS UNIT 12) 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 Heat Pump _ Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: ,Detection/Alertine 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 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 ❑ BOND 0 OTHER ❑ (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 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 OA (((7 IT, E�C� RECEIVED Cons . wealth of Massachusetts Official Use Only CT 27 2022D p.rtrnent of Fire Services Permit No. 2.3 Z:3 Z7 a � Lira BlDA6t�taErF1'E 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: 10-27-2022 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. 413-563-3043 Owner's Address 155 Pleasantville Dr. Suffield,CT 06078 Is this permit in conjunction with a building permit? Yes 0 No *slEl (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead❑ Undgrd® No.of Meters 1 New Service Amps Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen gfci's,afci breakers,stove outlet and gfci breaker,micro DF, Plates,gfci protected plug in cabinet over sink Completion of the following table may be waived by the Inspector 0f Wires. No.of Recessed Luminaires No.of CeiLSnsp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Paul Above gr❑ IF id. 0 No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas BurnersNo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. ,Tots No.of Alerting Devices Heat No.of Waste Disposers u t Pp Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Ara Heating KW Local❑ Municipal 0 Other Connection No.of Dryers Hating Appliances KW security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sign 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 f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 10-22-2022 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 El BOND❑ OTHER❑(Specify:) GENERAL COMP LIABILITY 06/242023 (Expiration Date) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Ed Merry Master Electrician Inc. edwardmer735(@gmail.com LIC.NO.:A17137(2145 Al) Licensee: Ed Meny Signature 0Lj LAC.NO.: 35745E (If applicable,enter"exempt"in the license number line.) 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