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HomeMy WebLinkAboutBlde-20-005284 0. Commonwealth of Official Use Only •i- ' Massachusetts Permit No. BLDE-20-005284 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:4/2/2020 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) 34 REID AVE Owner or Tenant KALAITZIDIS DIONIS Telephone No. Owner's Address 148 BEECH ST, ROSLINDALE, MA 02131 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 •• r�ers New Service Amps Volts Overhead 0 Undgrd ❑ No�' Number of Feeders and Ampacity t.rp Location and Nature of Proposed Electrical Work: Service conductor re-feed. / Completion of the following table may./:4r of Wires. No.of Recessed Luminaires No.of Ceil:Sus addle Fans No.of dialp ) Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators A 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Data Wiring: Heaters Siens Ballasts 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: Nathan A Ashe Licensee: Nathan A Ashe Signature LIC.NO.: 21136 (Inapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 166 Hunt Rd, Chelmsford MA 018243747 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 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 17( 0C- P1S -t Lets 1/17A , e,siss honwsat i(o`rilassaciucestts Official Use Only I` Permit No. �� '- u U 2epariineio` Jir.Serviced BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]Occupancy and Fee Checked(leave blank) 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: 3/31/20 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) 34 REID AVE. Owner or Tenant GWENDOLYN SLAUGHTER Telephone No. 508-560-5255 Owner's Address 34 REID AVE. YARMOUTH MA, 02673 Is this permit in conjunction with a building permit? Yes IYI No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120/ 240 Volts Overhead© Undgrd❑ o`kif)?[eters. _ . R New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: SERVICE CONDUCTOR REFEED ' Y . Completion of the followingtable w‘ived by the Ines ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. Total : o 1• 44 O KVA No.of Luminaire Outlets No.of Hot Tubs 44iio. ��1 A�jNo.of Luminaires Swimming Pool Above ❑ In- ❑ ' c J,y,� ,3 grad. grnd. Batte i p `' / 10. No.of Receptacle Outlets No.of Oil Burners FIRE AL• ' P f nesi� No.of Detection a I ;1 No.of Switches No.of Gas Burners Initiating Devices 0 No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 El Lo ❑ Other Connection No.of Dryers Heating Appliances KW &ecurity Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: $1900.00 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: Inspections 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 IA BOND El OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on th application is true and complete: FIRM NAME: Sunrun InstallationServices, Inc. LIC.NO.: 21136 A Licensee: Nate Ashe 1/"--4 LIC.NO.: 113616 (If applicable,enter "exempt"in the license number line.) Bus.TeL No.• •(978)594-3519 Address: 734 Forest Street,Suite 400,Marlborough,MA 01752 Alt.TeL No.: 978-1372-4294-Greta *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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 am the(check one)❑owner ❑owner's agent Owner/Agent PERMIT FEE: $ Signature Telephone No. Email: mapermits@sunrun.com