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Home My WebLink AboutBLDE-22-005761 a. Commonwealth of Official Use Only f Massachusetts Permit No. BLDE-22-005761 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:4/8/2022 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) 91 STARBUCK LN d Owner or Tenant Stephanie Sosa Telephon Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Che•., ' •a :t Purpose of BuildingUtilityAuthorization No. Al p 4 Existing Service Amps Volts Overhead 0 Undgrd 0 No: New Service Amps Volts Overhead 0 Undgrd 0 No.of . $ 3 .,,,cr.„ Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: Install bathroom fan with AFC! C/B. �j A ; Completion of the following table may be nlRty theector 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 ,Signs 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 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 Commonwealth of Massachusetts OfficialOj Use OnlyOn / 1 Department of Fire Services Permit No. �/ZZ—J-7CQ( • i P a 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: 4-6-2022 City or Town of Yarmouthport 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) 91 Starbuck lane Owner or Tenant Stephanie Sosa Telephone No. 774-212-6478 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No *s❑ (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service Amps Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install a bath fan and afci breaker Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.ofCeilSusp•(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tabs Generators KVA Above in No.of Emergency Lighting No.of Luminaires Swimming Pool ❑grad grad ❑ Barry Units No.of Receptack Outlets No.of Oil 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. TotalNo.of Alerting Devices No.of Walk Disposers Heat Pump Number Tom 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 Equivalent No.of Water Kw No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Egnivakat 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 Inspector of Woes. Estimated Value of Electrical Work:500 (When required by municipal policy.) Work to Start: 4-6-2022 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 0624/2022 (Expiration Date) I certify,under the pains and penalties of perjury,that the tnfarnnation on this application is true and complete. FIRM NAME: Ed Merry Master Electrician Inc. edward erry35 il.com LIc.NO.:A17137(2145 Al) Licensee: Ed Merry Signature 11F I -t---/7 �7'1--�rO 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: 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 0 owner's ent Owner/Agent PERMIT FEE:$ Signature Telephone No.