HomeMy WebLinkAboutBLDE-22-005094 Commonwealth of Official Use Only
. t Massachusetts Permit No. BADE-22-005094
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.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:3/15/2022
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) 24 CAPT NICKERSON RD
Owner or Tenant Carissa Marshwilliams Telephone No.
Owner's Address
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 No.of Meters
New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of solar PV system(26 Panels 8.45 KW)
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 0 In- ❑ No.of Emergency Lighting
rnd. 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
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 Signs ,No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
INo.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
(If applicable,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 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:$150.00
W691117e atc -/A (PcAc' c t7 ---b
•
- Official Use Onl
_— - Commoniveakh o`Mamachivaetta
*= �Z-"-. ' o
--_:111+ ;'t c� cc77 /`7 Permit No. `
3epartmenl o9.tire Se uice9 \\\
e v
Occupancy and Fee Checked
' - - ,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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-Q c-i,Daa
City or Town of: yarrnoth 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) Qi-1 4}Q1 r �i cr rke, rr Rd
Owner or Tenant l r(.� l ll r h A)C[ Iarb Telephone No. LleoldOr
Owner's Address Q! QS ()Mt,
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building LnoP q1Utility Authorization No.
Existing Service .'�Im Amps /a Volts Overhead Er Undgrd❑ No.of Meters I
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Locatiop and Nature of Proposed Electrical Work: is . $ s.. 46 4061 V:* II ,
PhNOVOIRILC. °Nor St Stems , . my-A.5 8,,Li5 Kc.,3
Completion of the followin_ table may be waived by the Inspector of Wires.
No. Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)FanshNOVOIRKVAILC. °
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Batte Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners 1 No. Initiating of Detectionand
Devices
No.of Ranges No.of Air Cond. Total 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 Heating KW Local Municipal
El 1=1 Other
Connection
No.of Dryers Heating Appliances KW ecunty ystems:*
No.of Devices or Equivalent
No.of WaterKW 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:
• Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Valu oM
cal Work: 1 Li,5319 ,60 (When required by municipal policy.)
Work to Start: .1 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 cove a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [/BOND ❑ OTHER El (Specify:)
1 certify,under t 'p 'ns and pen, ties of perjury,that the information on this application is true and complet.
FIRM NAME: L .1 I I i LIC.NO.: 1
Licensee: I i ii_ A^ Signature / _ / LIC.NO.:
(If applicable rater' e t"i t e lic rase number li e.,L. �!V�t�7 q/� Bus.Tel.No.•(l 2:Pj '.
Address: v5. 11Y57-6I,/i 5 _Std sn % itdI t 0Wild,7 1 �M� , (.X1/p l� Alt.Tel.No.:
*Per M.G.L.c. 147, 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 El owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
,
, : < cn aamm2mcn Cl) .-.
m moSmom_t 0
< xcr73c •E
5 02iHr Km •ti
7 .
mzPL00m M
- .
7 _ mo cnm
tt
-0 zomm.. r-ziN 0
-117
g> -so"-
,
E D -DT M
Z Z M'T>tri> 0 Cn73 0mc3 *
M
,...., ' m
41
O mm M>0 X
,
OM-
Z -1,--.
, 0 Dc 0 c_c8 7
O 0,7a —I go
-1 r mcn*
. '..e• ,-
o Oo
; ) .
m cn 0--
m c4> _K
73or mx
M cn Q.'.•
-o -13
r m
>
O m
o
m .
P m
r
• g ' . . • 0 • -, ,,.• 0
E 0„_ _, > 0
<- 0 m 0 0>x 8 mz
z m
› z
< g
O cox g m
1-
m m-rzr- M
----Z . i, m
-'-1- 01' Cm 0 M 0 0 073-
m,Zm . > m C5 r 3 xi F ozai -Ic°* Z
c'ocn> > < H 0 mz z -I H 00
73 -730 m
_.4 -i„ M _,T wm 0 m m m< _ < >„
_ . > . . 0. 0 0c„,
0,...,„, „, 0 . 0
co M 0 C DO
0 -1 23-1 MA 0 ° ° 2-1 r- -1zOW
' ° K 0 - u)0 mm z 0 °
<c1=Irr 0 z 0 >0 , z z -15 _< 3 m>
0003 0 Dzm oc)7,- 0mmm cn
(171 rzz> c c , m x x 0 2 m_0.<, _c,() >0- Z
0 0 Cn- K M ZM M Z 0
MCOM M00
0g1zi Co 0 m =I m >0 , 0, -I M M
7 8 m T x 20 m 2 mm 0 _., 0 mm
mx1-0 0 m > z_ --< > 0 > M- 0 1--< 0
z Mcn
2cncTz > Z > m-rZ > ZzmC - K*
-1 z H zm maZO . cz , >_
.0 or- 0-1 0 m 0 x)mg M _ 0 > cn Z 0
-Z cL, 'm 2'<'z 71-1 97 m 7 ,:l, c-c153
R• 11.0 2 M 5. mul 02 r
g 0>
c..........) 0m,- =, 0 o• gg
z°2-71
02 0 2 Om on 6-,rn
z,
•-• > 0
0
g in r-
--1 73
m H r- HO
mC
i7 gz
-I
omm00
a
co C c -Er
,- -in)
F -< c5
1- .,.. 23
o Om 0 2 mm
0 P-
E 6 z -1.z 2 eg.
\.1— m7033 m 0 0 mz
>mt,m m 331 c 71m
xtHoz _1 3, 7 oz
_1 ,-0m — c m< > m o , 1-0 -i,
=1 Al mn, m m0 73 m0 -<
1- m .73
c 0 0
m -1,
Z ,- C
1 (5D%Pg
.73,o
Z>0 0 Z Mm
O T ZM
C m m-1 o
ts,,,, ..: 1- q o q p, o
n,
=i ci --I .7,4 I C I c. (no
I FA, t• o Im0
C{r--6 m 73 0 ni . . ,-1 Z Z.
8 , m.._..
i..„.
0• ..
F>1-33-
74—cr
>>.
▪m
om 3 o at-.
m
Z .8
com
P>
• L2! ,t6
• ›
,-
-0
m
0
m
-0
m .0
-,,, 0
5.,,c0 7i
),.
m
m
.
0
r-
,
N.3
P 0
20
cn3
H
>0
r 3--
cc
Ho__
0-
z
= -<z
CS}
C, .,
m
<v_.,??7.-0-,,,0z— mmm0c_>>>>> FT
zKK2xmEnoNmn L_ 0M 1 -- N 1—
-4)
-0
0 m m CO -0 0 Hill
''n ggi2
-o c°2 5 o > 2 o CO -0 cn g cn
m m
X""' z
> >
co 7..4
om 0
m 0 o
0
rn 0
o
COM‹
73 M
0
3 C
Z
xi <
r
O C
0:1.
-0 >
E 3
< Z
0
-a 5
C > >
z 5 cl, H > x-
0 0 z o z m
m H g z >0 0 z m g 0 m m M
>> >X -
m <.--1--rm-0-0m0zZgg2mmM00>>._ _ z
Z Z o m 1-
>0-cm)>I0M3z0m>>-1,,rZ"20NzLrg mm m
z Z 'in' m r z Z
-o>-oocm,--i*Eomr-iimc7mKg0Fri-o oo 73 m m H
-4-13z3Hz4-1,1 zma3m-10-0c-naam >c < m H a3 0
mm>cn oo>zo mm5-°2-1211L')irl TT' 0 m
0-‹ -I -I g z z >
OMOM-Mzm°2=1 17-r mg x cn cn m 0
H co
0 zrn M
m_1,m5m> 3 -I mo z m
0
o mo>m> rt7, 0 m 00
mz 3 H m
7:1
> mo5mM .t, > Z 0°
M
> 0
M -I C,3C u) --0-cnrn Z C Z M
q I cno a] m cn , _._
m m r -< xi I
,, , 5
< cn
m 0 z 0 i
—I
FS -,::?. -)
m 2,m Ii:
m-1
M.
g mr -o I -n in -1 g -0 m > 0 OK1 0 0
-i c x > 7) > m < E I c 0 r-
> Z 0 Z m --1 m -1 0 co 1
-i 0 0 Cl)-o 0 m z > T -1Z 0 M in 1- r- 1 Z
m Co H g m 1- -1 71 < m 0 r
0 xi xi 0 0
g -I -1 _ m , m -< cn 1 o
m t 03 m
-0
m 3 --, c
m cn r m o 0 3 L. ,--
z 0 < z -1 is m
m -1 m<
cn
CI) in I z r m
7.1 H z
--1
z
H
in
-0 3 cn o -0 -0 -0 -0 -0
> m z o m P.m '''P "<!r2°C .s. co
CA < < < <
0 ,5 m › .
m m < 6 mc_ <,;, mom-i -0 -
ry
>
Omr 0 CI) C
KtM°
orr T. 0
N . , 3 '2
r
0 _< m 4,,H Ea, C>Dm
< m> •• gz §. --I-Km
z >c or, 7 z>zt ,
.
D o
<
0 0 -rt
m zg on. ,.z7:11-n
0 cn _m n 1 7:1 cn co 8,1,13 r, cn cn
_s m t 335 m mr- ,- 7 -- s•• 0
o
Pr
Z
..-. xi-z > , o -0mT, m
2 ,,., cr, 1- z
NJ m To t`c-'. cnmro
,
C 0 3 9 I _, z
m > z mm 0 01
m m zm>rri ro r
tr. _1 z
N9
o f8 0
NJ . :.. MI
t.,
rs
I, �
�= m
v
r
z
y
o
r
m
I
w
m
A
II
Z
Z _ DA
D 1- A
XI m 70 <
<2. 0, >
A
> Z al
b 0
m
1 id
d
\--------------
•
•
•
•
tl \\\
0 1111111b' \
m ., kicill311.1111111111111111
1111111ft\ \
C-5 \
3
73
,.. t . .ISIS 11111 \
ld
id
id \ 1
1
? D
Z Z A
D
I < D A D
3 A < D
A A
< ] < D
m In D A A
1 A 6
n O Cy
b
m vJ
A• A A XIA
v.• A CO NJO�
Dm
i 2 Om m DCD
NOzDA m vD
m m o ADA N tin co N §CO N m ny m- � < m 6O z° VD3 o <� AAl3WCDm i
D K Z b 09 1
K 73 T N w D 1
G Ill Z A� oN �ZAA D 9 '. a m m mm
�n m m
IV mOo N DnN a
O a oo Nmm w moo,' w w ^'
A C
N Z m m A O D 0 3 A
A Z
om A q V V N
p c O N, N � .9 D D
N A A W m m 1 m
w D
amO ammo A A A A M d
V O � " 3n w No+ Nr A W N b N r
k n
m — A +.. N w=z94' 3 2 T.
w b rn c� c� c� c� c�
�;w co oob 0 0 0 0 0
3 3 3 3 3
co . U m m t.
n n O m CD O C m
D D = 1 I I I -I 0
m 1.- z z z z z v O
!?� 0 0 0 0 0m m
N m m m m m
w W 2
w w ,
N N 30 .m .m 73 .L 0
p a r r r r r
�{ C C C C C
O ., b
k.
6 (n 6 (n (n N
El .
III a', XXXXX
IQ mmCOmm
I T T T. T 4.
mA m m m m m
.m A XI 31 A m
O O cn O O x
D
3
2
V �_
2
m
3 O
07 fD 00 00 02 K
U N •7 .
a
O
co co cnm m 8 O
72 A A A Z C C C A
z z Z 0
G G G OZ
D m O D A A A 3<
3 C)A N-1N OD mr tn or cn,-,
b • s 3 am -m nm m�9 zm F. or-
_,_ WN oA> 'Z'
smNO }>(n
p
co r a D A CD-
o
I o O O.- r_ m
m D o an nyC 'IA
0
m mz 0 An xi A Ro n
O Or- w a O m O m O
W w
N Kz z z C 1
"; r.+ n n noy7? OO wH 3 33 x v .
b o
a_ „ z
T.
_ 3 1
Ox
A N�_b_ —V— ��Qp C„ 02 N N al Or x7
r ' J
3
_ A d N m
a -1
m 2
3 O
O x 7,
N N N N N N y D
A w - _ D m 0 - - - ' r 01 H O
}--.- --I' 6_,6. 3 n a - co v z
N=A a,
$N� 03
A A A A A O X
cn
n O O O O O ru
r J I
m C
'h. I N flI
' N N N NOg
ag. I +I N O O O O 'O m
fr *- I 6 cn O
LI $`+ `Zr y m___ � D D D D D s
S'13S O d
z O O O O O �
m D cmii ram z r DADc im- m • • • 'A u,y�
m m < u'� .ZIO,Z7� o ' mm��-imp---m ice. o Z
D m m Z �m 3ayp Da0nmm>OOmomomyHO
O�cng 1-x mN g?�m o3�mm oOmv�{o0DXpz<-I—mmm,Nmmgmoom 43
0 O A A N N rn r m in z�O z O A O> O 2 D 3_,<0,-z A O O x 0 z c m p n
^� rnmrO m*mm mD-{ p2 m zlCc O[nz Dmm m O -
N c m A O D m D m y m O m> z-I O�D O z- w c{�y 3 m r -I
4 zg �nrZ2 np2 Om<Orr--ppz Ocmnmz m a m
o N mp zmcnZ mpg z mzm-n>CD 00 mO 0 .Xl
r.3 m O 'O 00 mZZ <"_'xm W -‹X Z� 3 " D
w CO { a Do- Z -I{ m m
m cn z m a Z m
\)\-<<\2 §\13\k ° , • Q
)2(dddd -o[;r / I § ;�
0000�n e2/7m ` _ ; 0-
xmmxm., §)%i( } } 0 m B \ §§ 2§
�§�2{ [ ee3§n m - ! ! ! 2
§3m3m m s33w§ _ m
%�)/� �`f`' 2 2 j ¥ III
) — — \
e G - °-
x\)(m § \ ` ^ § b -\ I.§ §$ m, cn
.. m E j % & §§
k q / ) ) § ,
/jjk 9 H 3K ` -VI; ; }
��m $
�� f222] i , < m �.�
�/22`/ §//{\ z z m
)m\§B m7N§ ; § �)
m ›>o e• ( / O V.
.. $ k z ® `
n 2 o m =
k z m A r
/\/<-,
I _
\\2kk rrniarp�
ili § mm
) ) / o 2 ,
2 ; o 9rqgR `_
z z ` \°kc
\\
\/\\zz - )m§7k{
E 8 k .rii-0
k\ . k \
\\
`
I •. ~ /
�. age$%�
222i!
7 --2§%
} 0O
7.
F.,
mm m. x,
m > m 2 ) 70 r 222§ )§! A
± mm * 2 I§ i) )§�q
m \ � lzts v{{g ° C
/ \ $Ee/ \§§2
o & 7 22o f; / n .
�co(�m - C
F. mil..
o \ ®` \
Z
D rr
Amom z D�D 'm n om�0y i TInC
O�i,p 3 pp
H
-1 mmp= �P D pomCO �On mn�t07 � o"�'No c O � ��.,. o3mr �Z '= N�Og yDAD - % mZA� Aci 4� 1ZUTO ''.'A < 2 .-=, m,f5 nm cz Zr ,Tt- , oD °m 2 mncDiz zmz '_= c zD Nmm ti vzp"" Zmz 0 6 zf 3 m 96 ..V› H
; o m m zomnmr oO n 7- 0 V 2 °y Z< A D 3 r 1 in
$ui
oO < () to m O my D - z m ! 9 n D A 8<ii mZ a
- A ~
TO O O
D
Z <
0 o 0
T
41 r , woT AZ H y r
T z
TDm viOm Cl) I ' mF2m 13 A SmSD X
m
0 p T
^<y0r 1.m000ppr (N),Ny8;124am NyZ z may. w DaNL'ED ^MZ = ^ PI "Y' gmm� ® m , Ozm6mp p13 x• N=E T7 A00Z
-Ap Nym ��� D00 _ o,1D X Z O� � zCc No Ci0 (I) acZ o oCN z om
C�� Q al
� s iH
�,9 2nT '7,1:
z*oy m `< �
=0 // ! Tnm
3 7Z m< C)
'_=n r n
y I am m la
No < , _ > 0amr
Cm -1 c Zym O A �
Z m
v
IiTM ea)
Il
T. I I 1—, - _> H rn
o 73 cf) › <
O M v m m I , O C
z < u, xi x C mil
mn0 m 70
Cm z
Cl) n
O 1
D -I m � x D (n
�E nz _
D -i
z
T
O 0 Oyfn Z— .Z
O m m Z D T OG7� Sm SF�T�eiO
Z 6Ny<mgm6Zi� y
r O y p y
2 m r m V OOOPDDyOpfpCog
r O m r0 � m y
Z mmm ma'mpmv r4
my^'<mar
D vl Z Nm� OmZy yy0
O rn zGirz� zrv,2mv
TO y rn
O) O ` 5c§y0 VOt prcg ri mOy-<D y0 3
a) O - zoi .x ,pmm
AP C DO=
ll
m§4 ArT " Ozm
pymD c7 t Om
D A -o o oN ' z :i
,m2 o m m , 7 ill #
m '- aA_ arm Cr) mN = m Dm X.
n <-� in 0 m ' nm - 3 ,i
z, i0 0ocn 0C Po 0 m p ci
- iDmCn Dzzc Om D - o D c g mOZ o� 2Zmm fl D , o To my(,),:am �m Ul Z m 0 D— o O C mZO D o v - n
mm , o mm o OyOm
IQ m m,1--Z C. mC TZ m Z Ao! ZK N m O O N y o O o"1 P
N
m A�
m