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Home My WebLink AboutBLDE-23-005643 0 -4. fir^ l\} Commonwealth of Official Use Only A "J\ Permit No./.. , Massachusetts BLDE-23-005643 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:4/10/2023 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) 13 WEBSTER RD Owner or Tenant TIM NORTON Telephone No. Owner's Address 13 WEBSTER RD, WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Che appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd tilli, s( New Service Amps Volts Overhead 0 Undgrd / lam.,' f Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Remodel bathrooms&kitchen 71'4...." Completion of the following table m. • •;‘. Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Padd►e)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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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 ❑ 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: Walter S Norton Licensee: Walter S Norton Signature LIC.NO.: 9755 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 PROVIDENCE RD, GRAFTON MA 015191114 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: $250.00 I.Jle__ c(to(73 eg (ki-o-r a _ RFCE1VED r .PR 1 1 m nwealth ofMassachusetts Official Use O,ul O �� Permit No.: L�Z3 (p 7--� " - /A rtment of Fire Services Occupancy and Fee Checked: " N�OARD OF Fl E PREVENTION REGULATIONS [Rev. 1/2023] -``�-' `r 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:ilThh/ /O oZo 3 To the Inspector of Wires:By this application,the undersigned gives no ices of his or her intention to perform the electrical work described below. Location(Street&Number): /3 UJib5Te-r• Rr.( Unit No.: Owner or Tenant: %in'►') /Vc9 A Ton Email: z,yi( f no i tt .) -c.c.)v'4 Owner's Address: S�f......o c» 'r Sc,r nei v t\1.q )yvl r4 Phone No.: 6k.- -3toS-O(3 C Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: 5,,1 y/e- fgr»:'/y OeeC //i"f Uti ty Authorization No.: O Existing Service: / d Amps /-°' /?-y0 Volts Overhead[Underground❑ No. of Meters: i New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: Rd mode-/ _at TA/Vo,0.; ' - It I T cher) Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: MP 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:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 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❑ 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 D Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: if/%40/' Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: , / A-1 ❑or C-11 O LIC.No.: Master/Systems Licensee: �, 5 t e /)m /1/v�. re 0 LIC.No.: / 73-3- Journeyman Licensee: W. j/e Ph er /r' 8 r r .'" LIC.No.: d7- 7 93 is Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: �7 f ►"idea l t_'r& • 67,^Q F Tor) 2 I?Email: I.I/S/0k I O Cl Fa r>'► ;/r 41 /9' I' G 0 "0 Telephone No.: 5 0 `' 7/ I certify,under the pains and e rat ' of perjury,that the information on this 'application is true and complete. Licensee: '3'✓, Print Name: its Sl efI i /V`"�-10/1 Cell.No.: 3er '1 yl 6° INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability 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: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insuranF9.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: 77 r y')e'`-r-c+ Tel.No.: 62/ - 3 et, S-- .i3‹ Sign j Email.: I -nri) t- i pla,---12)A: i C. occT Town of Yarmouth Ken Elliott Wiring Inspector In reference to certify that house at 13 Webster rd. is safe due to home owner wiring. I W. Stephen Norton have thoroughly checked all electrical connections in all electrical boxes. Corrected a few ground connections and tightened some other connections. I also replaced all receptacles that were not tamper proof with new tamper proof receptacles. I also replaced all circuit breakers with Arc Fault breakers and Arc Fault/ GF1 breakers were needed. I also installed a whole houses Square D surge protector. At this point I am fully confident the wiring in this dwelling is safe and trouble free and poses no hazard. I will take full responsibility for the wiring in this dwelling. Signed M/AL Date .Jiii :71--0 ;71,3 ,4 COMMONWEALTH OF MASSACHUSETTS It COMMONWEALTH OF MASSACHUSETTS DIVISION OF OCCUPATIONAL LICENSURE • DIVISION OF OCCUPATIONAL LICENSURE BOARD OF BOARD OF ELECTRICIANS ELECTRICIANS ISSUES THE FOLLOWING LICENSE ISSUES THE FOLLOWING LICENSE tu REG JOURNEYMAN ELECTRICIAN ccREGISTERED MASTER ELECTRICIAN '12 WALTER S NORTON n WALTER S NORTON 57 PROVIDENCE RD '` c2 57 PROVIDENCE RD GRAFTON, MA 01519-1114 is W GRAFTON, MA 01519-1114 z U , 25193 E 07131/2025 290654 9755 A 07/31/2025 288860 CENSE NUMBER EXPIRATION DATE SERIAL NUMBER ICENSE NUMBER EXPIRATION DATE SERIAL NUMBER _, e