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Home My WebLink AboutBLDE-23-003888 V)(‘) Commonwealth of Official Use Only (fi ' Massachusetts Permit No. BLDE-23-003888 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:1/18/2023 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) 18 PINNACLE LN Owner or Tenant SHERMAN DOUGLAS D Telephone No. Owner's Address SHERMAN LAURA A, 18 PINNACLE LN, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) t" •f 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: Sub panels in garage&wiring. Completion of the following table may be waived by the inspector,of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Totat 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 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners 1 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 2 KW 16 No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 Total HP .75 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: Stephen D Wilkins Licensee: Stephen D Wilkins Signature LIC.NO.: 36023 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:250 UPPER COUNTY RD, DENNISPORT MA 026391402 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: $75.00 \\IP APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 oF �yq=- ,.3.� \�yo; (OFFICE USE ONLY) `~ -_ TOWN �_ By MATTACHEESE D "� ,� Fee - FAN 04 2023 PERMIT NO. (PLEASE PRINT IN INK OR TYPE nit iik6'Q1u gAQ.K Date: To the Inspector of Wires: By this ap oY_ 5N iv s notice of his or her intention to perform the electrical work described below. Q Location(Street&Number) II O 11 L' t1 CC- C lCY).\f 4f m 04A-cc-Torr tAl er- 0),(05 1 Owner or Tenant 1O U� ��t. CA.V\ Telephone No.50 aft)-`C 1 I ) Owner's Address Sa vr -- Is this permit in conjunction with a building permit? Yes grlo (Check Appropriate Box) Purpose of Building 57uOe_( I '. r<S Utility Authorization No. Existing Service I 50 Amps /.00 / 24,0 Volts Overhead n Undgrd 3 No of Meters I New Service Amps / Volts Overhead 71 Undgrd 0 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: SK$ ?A f"."/ I- 7e, �ry. - --Z1. /i 4_5 Completion of the following table may be waived by the Inspector of Wires No.of Total No. of Recessed Fixtures f N_o. of Ceil.-Susp.(Paddle)Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No. of Lighting Fixtures Swimming Pool grnd. grnd. Battery Units No. of Receptacle Outlets '' No. of Oil Burners FIRE ALARMS No. of Zones No.of Detection and No. of Switches No. of Gas Burners 1 Initiating Devices Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW Local 71 Connection 71 Other Secutity Systems: No.of Dryers Heating Appliances KW No.of Devices or Equipvalent No.of Water Off// No.of No.of Data Wiring: _ KW Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HPW Telecommunications Wiring:No.of Devices or Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. 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 OTHEREJ (Specify:) 7- 7-. 3 (Expiration Date) 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. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: gra 1 c!✓1,Le• (l<: sr S LIC.NO. —3 t1:::? - Licensee: A7 r'L.e."4„7LL/i4e__-.._ Signature d[r e a / f. LIC.NO. (If applicable, enter"exempt" in the cen u ber litke.h L Bus.Tel.No.: �50g- 3t —so I5 Address: � UP.sec e(�N y l)ti►1f11S10c-A ,AA QA-3cf Alt.Tel. 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 and the(check one) owner 71 owner's agent.0 Owner/Agent Signature Telephone No. [Rev.04/00) 1 v 4•1obi — t1M -t-o c4-tz Ott