HomeMy WebLinkAboutBLDE-22-003464 4i' Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-003464
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:12/20/2021
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) 82 EVERGREEN ST
Owner or Tenant Elizabeth Gallinaro Telephone No.
Owner's Address 82 EVERGREEN ST, SOUTH YARMOUTH, MA 02664
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 ❑ 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: Installation of solar PV system(12 Panels 4.26 KW)
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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. Totalo No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
Space/Area HeatingKW Local 0 Municipal ❑ Other
No.of Dishwashers P Connection
HeatingAppliances KW Security Systems:*
No.of Dryers PP No.of Devices or Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs No.of Devices or Eauivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
required bymunicipal policy.)
Estimated Value of Electrical Work: (Whenq p p y'
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 LIC.NO.: 21136
Licensee: Nathan A Ashe Signature
(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) ❑ owner 0 owner's agent.
Owner/Agent Signature Telephone No. I PERI
MIT FEE: $150.00
___ - Commonwealth o/riladdac ttd Official Use Only
1►'* —f l cc�� cc77 Permit No. L-;'22,--3q(o
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W= �� 2epartment o`,}ire Serviced
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t= Occupancy and Fee Checked
-.Z 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:12/8/2021
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to performthe electrical work described below.
Location(Street&Nu ber) a , ,
Owner or Tenant 1-,, r t ' i I I I ( ' ' Telephone o. Q.,11 1/444- I en
Owner's Address same as above
Is this permit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box)
Purpose of Building dwelling Utility Authorization No.
Existing Service I Amps 1 '/al(Wolts Overhead] Undgrd❑ No.of Meters I
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Q Nu ber of Feeders and Ampacity
iiif 7 o Non and Nature of Proposed Electrical Work: Installation of roof mounted photovoltaic solar systems,
�' ( �, panels l,,. a(s'; kW
p u �, Completion of the following table may be waived by the Inspector of Wires.
Total
—." C ;c N .of Recessed Luminaires No.of Ceil.-Susp. No.roof KVA
U ` �, (Paddle)Fans Transformers KVA
Qj N .of Luminaire Outlets No.of Hot Tubs GeneratorsLu KVA
j= Above In- No.of Emergency Lighting
4 Nq.of Luminaires Swimming Pool grnd. Elgrnd. El Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 ❑ 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 Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
, (JD Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: I�-�"1<-.A . (When required by municipal policy.)
Work to Start:1/8/2022 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 2 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:Sunrun Installation Services bine, LIC.NO.:
Licensee: Nathan Ashe Signature .71 1.4 LIC.NO.:21136A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:9785943519
Address: 695 Myles Standish Blvd Taunton MA 02780 Alt.Tel.No.:8573343116
*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)0 owner ❑owner's agent.
Owner/Agent I PERMIT FEE:$
Signature Telephone No.