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Home My WebLink AboutBLDE-23-004826 Commonwealth of Official Use Only E: € Massachusetts Permit No. BLDE-23-004826 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:3/2/2023 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) 12 SHERIDAN RD Owner or Tenant CHERYL WILLIAMS Telephone No. Owner's Address NATARO WILLIAMS, 159 CENTER ST UNIT 1, DENNIS PORT, MA 02639-0000 N Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check 1pforil b 27 ,,,,- -mei Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters 11101) New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: upgrade service from 100 to 200 amps(774-722-0548) 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 Initiative 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 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 Sims 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: ISAIAH L BASSETT Licensee: Isaiah L Bassett Signature LIC.NO.: 40515 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 JODA RD, BREWSTER MA 026317362 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 sECEIVED Al)( -'' Commonwealth Maudac Official Use Only 2023 n 0,t c��` cc77 '°" , �Us�,a,tnrant o�.}iiar�sruccs� Permit No. B '� PA RT M E N T Occupancy and Fee Checked 5 0 19-6 9Y -I fJ -_ -- -: aF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 a1/21 ? City or Town of: zaiiivil To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. y Location(Street&Number)AI She..i 4,, Pd �C!q At elt et.i - Owner or Tenant Ctley,+ al4.,L Itio-retj Telephone No. <7"! Owner's Address �c, 4'5 / / t f_ Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Box) r IS Purpose of Building sy f 1 ,441./y pk,/t i5 Utility Authorization No. 1/743.347 027 I-.; Existing Service`r1C? Amps 1. / AVt) Volts Overhead[Er.- Undgrd❑ No.of Meters / New Servicetl Amps it,C /,.NCl Volts Overhead[ Undgrd 0 No.of Meters vl Number of Feeders and Ampacity ,2 2 60 y Location and Nature of Proposed Electrical Work: (4ip6.1 5cd,.U„ , `dd to jou g Completion of the following table may be waived by the Inspector of Wires. 11,1 No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.of tal Z, Transformers KVA t No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Poot Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of OU Burners FIRE ALARMS No.of Zones x\-- No.of Switches No.of Gas Burners No.of Detection and Initiating Devices i 1 No.of Ranges No.of Air Cond. Tons 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 HeatingKW Municipal Local❑ Connection ❑ °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Etjnivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equivalent OTHER: Attach additional detail if desirect or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licenseeprovides permit for the performance of electrical work may issue unless` 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:) 0`- I certify,under thpalns and nalties o ��F�' fy''Z �' (perjury,that the information on this application is true and complete. FIRM NAME:,c.45ai t 1/41S5 174" .- `-.1.i t cr./ Licensee: LIC.NO.: e2�i:If �- �d9 � - Signature LIC.NO.: , /..1( /IL of applicable,enter exempt"in the license number line.) � Address: Bus.Tel No.;_ *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally CM required by law. By my signature below,I hereby waive this requirement. I am the(check one III owner ■ owner's a'ent. Owner/Agent Signature Telephone No. PERMIT FEE:$