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Home My WebLink AboutBLDE-23-04100 o► Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004100 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:1/25/2023 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) 37 KATHARYN MICHAEL RD U Owner or Tenant HODGE GARY B Telephone No. Owner's Address HODGE SHARON B, 38 SUNRISE TERRACE,WESTFIELD, MA 01085 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) 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: Wiring for sun room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 1 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 7 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 No.of Waste Disposers Heat Pump Number Tons , KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: $75.00 Commonwealth of Massachusetts Qfficia1 Use Only '/ _ C E I Vp®rbnent of Fire Services Permit No. (%Z3 4(fJ 0 • a I' BOARD OF FI E PREVENTION REGULATIONS Occupancy and Fee Checked JAN24 ZOZ3 1Rev.1/071 (leave blank) =PLICATAO- ,FOR PERMIT TO PERFORM ELECTRICAL WORK �'3, ----Al wodcie bepert)rmed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1-20-2023 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) 37 Katharyn Michael Rd unit 4 Owner or Tenant Gary B Hodge Telephone No. 413-433-0312 Owner's Address Is this permit in conjunction with a building permit? Yes® No•❑ (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 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Sunroom Addition.Paddle fanlight,20 amp plug,exterior plug, 4 interior plugs I awning plug,3 AFCI breakers Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiLSusp.(Paddle)Fans No.of Total Transformers KVA No.of lighting Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above D 1a- ❑ No.of Emergency Lighting grad grad Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Tames No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. ,T1, No.of Alerting Devices aus No.of Wash Disposers Heat Pup Number Tons KW No.of Se(-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Arca Heating KW Local 0 Conn Muniectiocipaln ❑ Other No.of Dryers Hating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW Na of No.of Data Wiring: Heaters 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 derail if destred or as required by the Inspector of Wires. Estimated Value of Electrical Work: 800 (When required by mimicipat policy.) Work to Start: 1-20-2023 Inspextions 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:) GENERAL COMP.LIABILITY 06/242017 (Expiration Date) I cen)ft,under the pains and penalties of perjury,that the information on this application is tote and complete FIRM NAME: Ed Merry Master Electrician Inc. L /,` 0 LIC.NO.:A17137 Licensee: Ed Merry Signature I ✓rI 2 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: 1 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 ent Ownr PERMIT FEE:S Signaatureure Telephone No.