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.) Bus.TeL No.: 508-221-4335
Address: 15 Checkerberry lane West Yarmouth.Ma.02673 AIL Tel.No.:
'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S" cense:here: Lie.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 agent
Owner/Agent PERMIT FEE:$
Signature Telephone No.
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