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Home My WebLink AboutBLDE-23-19224 7/26/23,5:41 AM about:blank Commonwealth of Massachusetts © '"4 • * Town of Yarmouth ° �rx ELECTRICAL PERMIT .,, Job Address: 200 UNION ST Unit: Owner Name: WILLIAMS JONATHAN D Owner's Address: 200 UNION ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19224 Existing Service Amps/Volts Overhead ❑ Underground 0 No.of Meters: New Service Amps/Volts Overhead 0 Underground 0 No.of Meters: Description of Proposed Electrical Installation: Bring basement area up to code. No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: July 26, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: WILLIAM M MASSEY License Number: 28400 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Worcester, MA, 016043362 Worcester MA 016043362 Fee Paid: $50.00 Email: billmassey_@gmail.com Business Telephone: 508-277-2823 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. INSURANCE: (SA 1/1 about:blank 1C1 VED 1 Commonwealth of MassachusettJU2 Official Us qq�lyZG 5 VmitNo: t-�S l'= _f/ Department of Fire Services Occupancy and Fee Checked: BOARD OF FIRE PREVENTION REGULATIONS .[Rev. 1/2023] y.' ''' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance.with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • Date: 7-07 .c a3 To the Inspector of Wires:By this application,/ the undersigned gives noticesof his or her intention to perform the electrical work described below. Location(Street&Number): Roo l �1 o 6r Unit No.: Owner or Tenant:go n} 9/i ,4c L7i l[tir94vts Email: Owner's Address: a9,r,f•-.7 Phone No.:6cv 3;170 6(272 Is this permit in conjunction with a building permit?(Check appropriate box)Yes jfi10❑Permit No.: Purpose of Building: Utili Authorization No.: Existing Service: // 0Amps r 7)/`„ 6 Volts Overhead underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No. of Mete : _ / Description of Proposed Electrical Installation: 04,101 oty/e Oc-%pfi,e , i9i,-t i‘i At-ci4)/ (7 Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:. No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as requireAby tise Inspector of Wire . Estimated Value of Electrical Work:,7fis/Pitect die(/ (When required by municipal policy) Date Work to Start: / r Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: lit/G I v7, . �'/u -94t A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.:,rG' [l int/ Journeyman Licensee:ZA) int/``/�J/v� Mn�� LIC.No.: G U 6 Security System Business requires a Division of Occupy . Licensure"S"LIC. �-S-LIIC.No.: Address: `09 SS9)i (/ ` d(W( /`vljf. (/iD X , r,, ) `��j Email: b !l1m /44 e ft/91 I, God Telephone No.: (, , cL�2 c h) & I certify,u d th.g s nalti f perjury,that the in ation on t is application is true and complete. Licensee: Print Name: ll( 75� Qc?Cell.No.: 22 � INSURA_ CE ' l�t'�ER E: nless a. ed by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"comj ed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof s to the permit issuing office. CHECK ONE: INSURANCE ofOND❑ OTHER❑ Specify: 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: Tel.No.: Signature: Email.: