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Home My WebLink AboutBLDE-22-006594 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006594 n andFeeChecked BOARD OF FIRE TREVENTI)N REGULATIONS Occupancy C ec e1 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:5/17/2022 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) 33 PRINCE RD Owner or Tenant CUTTER HAROLD S TRS Telephone No. Owner's Address CUTTER JUDITH A TRS, 33 PRINCE RD,WEST YARMOUTH, MA 02673 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 ❑ 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(35 Panels 11.9 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 ❑ 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. TTotal 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 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: 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 (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 &1j /5/17V Commonwealth o`Maddackedetid Official Use Only e, '/ aLJaloartm�.al of}ire Serviced No. �'j?i2'(o -7 y I, `* Occupancy and Fee Checked R E C E I' ,.x7," :OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 111 D I ATION FOR PERMIT TO PERFORM ELECTRICAL WORK r MAY 1All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 rPz, E IN INK OR TYPE ALL INFORMATION) Date: Och 2/22 BUILDING D E PARTi r Town of: fM O0\114\I0\114\ To the Inspector of Wires: By y tht app ca n the undersigned gives notice of his ocjherr intention to perform the electrical work described below. Location(Street&Number) 33 ?i viv..,e "G Owner or Tenant C G✓�-�-t (p ( Telephone No. 61-7-2,x-y ? Owner's Address Qr nn QS (name, l.Jm(j Is this permit in conjunction with a building permit? Yes va No 0 (Check Appropriate Box) Purpose of Building nA, it ❑ +Utility Authorization No. Existing Service 200 Amps 7 ))/a Volts Overhead LJ Undgrd No.of Meters l New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity �( Location and Nature of Proposed Electrical Work: _ins c i Q-ion red marled phcroVolinic. DiQr st °ter . 3s part Kc,l Completion of the'followinpztabll may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA VA 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 Initiating Devices 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❑ Municipal ❑ � Connection No.of Dryers Heating Appliances KWSecurity Systems:c- 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: Estimated ValugAttach additional detail if desired,or as required by the Inspector of Wires. Estimated Valu of cal Work: 26 goo (When required by municipal policy.) Work to Start: ,, 1 spections 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 ❑ (Specify:) I certify,under t -p i;ns and pen, ties of perjury,that the information on this application is true and comp! . FIRM NAME: k it $ ` £ LIC.NO.: Licensee: S k i * A- Signature / / LIC.NO.:I (If applicable gnter `fie t"i t e license number line„)..-. / ,✓� �y1 Bus.Tel.No.•`___ ,��U __ Address: Gy5. milts _v. SCI 1L47, lG(11�tC�[�, l'1 (.N7�O Alt.Tel.No.: *Per M.G.L.c. 147,s57-61,security work requires Department of Public Safety"S"License: Lic. No. OWNER'S INSUGEWAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. _y signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent (�7g,cq -? 1 PERMIT FEE: $ Signature Telephone No. l Jj4,...