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Home My WebLink AboutBLDE-23-004713 #20 a Ytik Commonwealth of Official Use Only fi Massachusetts Permit No. BLDE-23-004713 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:2/24/2023 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) 20 R RD "l fl} M l4v( &T C_//�� . Owner or Tenant A f --z,u, Telephone No. Owner's Address 20 MANCHESTER RD, YARMOUTH PORT, MA 02675 3 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Apprgpriate Box a( 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: Install bathroom fan&switch 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 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 ❑ (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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Commonwealth of Massachusetts Official Use Only �Department of Fire Services Permit No. W3'Lk-7 R+ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rlRev. 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: 2-18-2023 City or Town of Yarmouth port 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) 20 Manchester Rd Owner or Tenant lisa Connell 603-566-0694 Joshua 508-776-9831 Telephone No. 603-566-0694 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No *x0 (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead 0 Undgrd❑ 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: Install bath fan and smart switch,afci breaker 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 ❑ In- ❑ No of Emergency Lighting grad. grad. BatterxUnits 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. Tans No.of Alerting Devices 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 Data Wiring: Haters Signs 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 if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work. (When required by municipal policy.) Work to Start: 11-28-2022 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 ❑ OTHER ❑ (Specify:) GENERAL COMP.LIABILITY 06/24/2023 (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. edwar a 35 '1.com NO.:A17137(2145 Al) Licensee: Ed Merry Signature t2 `' 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:he : 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 met. Owner/Agent PERMIT FEE:$ Signature Telephone No.