Loading...
HomeMy WebLinkAboutBLDE-22-006919 ' Commonwealth of Official Use Only 2 1, ��(� Permit No. BLDE-22-006919 1:.._�'�,� Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:5/31/2022 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) 61 LUMBERJACK TRAIL Owner or Tenant Mikaney Rodrigues Telephone No. Owner's Address 61 LUMBERJACK TRAIL,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 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(28 Panels 9.1 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 gNo.of Luminaires Swimming Pool Ab In- ❑oved. ❑ No.of Emergency Lighting 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 Ton 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: s Siens 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 041A( 1 Commonwealth o//I'laasachuoettt Official Use nl * ct'� cc77 Permit No. 0 - 011/ . ° 2epartment oil.�`ire Serviced LLI �'�+ 1 Occupancy and Fee Checked :7, ,� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) w • A ', PLICATION FOR PERMIT TO PERFORM EL ECTRICAL WORK O All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 Q(PCBASE PRINT IN INK OR TYPE ALL INFORMATION) Date: jO EU M ° cityor Town of: `} "�YQ� h To the Inspector of Wires: cr m,plication the undersigned gives notice of his or•her intention to perform the electrical work described below. i^^.lion(Street&Number) I . Owner or Tenant I -- Telephone No. Owner's Address S Ve) Is this permit in conjunction with a building permit? ❑ (Check Appropriate Box) Purpose of Building !1 � Yes� No U itj • Utility Authorization No. Existing Service /LI) Amps /040 Volts Overhead E/ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters Number of Feeders and Ampacity pLocation and Nature of Proposed Electrical Work: ins- m Q-I(n 1 c) r l�1„ ^, wvoitnic. UtQr St le.mS ; 02 �dt `p('k(e11./ Rc . " V ' "'j 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons [KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ico,/�6 `� (Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Valu o cal Work: l„ When required by municipal policy.) Work to Start: '., Inspections to be requested in accordance with MEC Rule 10,and upon INSURANCE COVERAGE'r 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 'its and pefesofPerJur hies y,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 1�!QC Q • Licensee: Signature (If applicable nter"e em t"i t e license number 1" e„ .. y� LIC.NO.: Address: $5.r ({/C5 S e Sfl I<.lc l (/Il/(',i 1, �� c.ly 7,0 Bus.Tel.No.: Q��}•' No *Per M.G.L.c. 147, . 57-61,security work requires Department of Public Safety"S"License: Alt.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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ I cn «x• omOH 0 i Z c5pzIRi -< zommm„,N 0 mg>z�mm E D m m m m , D z m O D o G mmCaj DO� 0 C)0x mDo Z 1'9 p7n /� O n0 G)�m x Cp- mDo O m m -3 0 O Z r n o m A z =m D '.i P. m O- Z O Ho- 06 m ,---m m o� 8z mrnar mg m m ' m m m m m O 0 0 m o m D Z<u'x-s o > 0 Z D p Z D 0 0 2 frn =mi z fTql-I Z m o '� z o x c D O m o C O m O m-r m o m y > { m C O r Z 7C C Oz 1 1 n O ZZ] m mm r m m 0 Cc) 0 C D CD) O A m or- D O O 0 <m m K O W 0 m Z Z 0 O Z D m D m 0 2 0 0 0 m 0 p 0 m O Or D m z m 2 0 -< O Rm, r r Z Z D C c m m Z 5...R 2 O O m m 1 m D r z mn00 �" -I D -m mZ 3 <1 3 -mi Zop 0 -- m S 0 m 20 D O -i U' -1 m m 0 m D3 m =m r= 0 m n z_ -< O 0 O H- 3 rr- zmm� am mmi > n > mm 3< Cl) 0 0 H O m 0 A 3 m m o z o C z D m D C- n m v j z 1▪ m - > <0 0 C) c 2 p m 1 c m OW m o z N r i pC C] >D 0Zr^o 71 c p c) z m 0 p m m c)o m < c, O m fzfl C '� A Z D m C o O O o O -`2 m a D m 0 m m p m m D o z z m z m = (O m H o z D 0 m z -1 m m o m O r z r m vm"� -1 m mZ O c m m m0 -< m 'p o>mo o c zm z N �z No zo 08 =mim o T zm -▪ „ � Co H C{m 01 A A OM W w Z o n-, 0 Wrnw m 0 com 00 m z 0000, C -i w o Z i "m 0 Z0Z0^o O D N m m Zypm L7 '�'D O m >0 q<.rr A m rm ��. Or Hoo O m m o O' Z = -< Z A m< �< Hmmmi��)OZ...-mm mm....00N>On m 1O �() m r r mr0 mm mzT01-amm mE2 �� < O O O e > m Z O o D Z 0 m m m 3 m m m 2_i C) O < m C < C D m z O o a m o z r w z m Z i' Z O 0 n Cm D c D y v n v m < Z m v m p Z Z; -m m m o O D D D D D o o p m z O am m,O m Z m O C'nZ41 0 O*Z O m m m m m 3 g O m X 0 0m m z z V' m m Z r m z Z _mmDTm 0(o>;10 rTM57,9z-101DZM [Diem m Cm) Cm) < m fi v 02pmc,m�mm Anil 07Jm 'OOm=�Dm mg m x' z D m 1m-AD < - Tl_ H_ 0m m O w 0 ODxa C) O O Oz m m -DI mo5mH m m > zZ n0 A W m mz c0 > f0T1 _. c c m ma m m m HA I — , m m r -< 271 4 .. ? P, m < o O m m J r A Z b o a cn O T O A Ti > m -1 n c, - = z O Z O m m vpi m r z D m = O Z 1Z © m m 3 -o c) m r m v D < m w H m m < > j H m m < -1 Z { Cl) 0 z O r m O o m 0 A ! 0 H > Z T. in m Z < b._.._ __.... 7 m r m m 2 Z m m ffl 1 Z Z m m M m 0 m n F O u > m = Om N v <w g C .o m - v m -o 9 0 < m A m w o z A r m olin < < < < < A-m > rn U1 G7 �1 m D W C 1 N N a w 16 - m 0 z m �O pg o 0 0 0 0 0 m D 17 < 0 p bZ o A Hmm,m - m m D oc o o1 m C 7:1 m mm oo DOmm D m 0 0 0 m p p m o H00 m r r m < y C) 2 g o mmmz z < m m a z Z m ' m w>m 0 C D x7 O m m 9 m o -I r" m 0 , > m i Z o D z _1 z y N N UJ i m + v z io T. m m II 'm II -� -,a-- -------\ ld d \-------- ... ,3 NI Ili \ m m cn 0 m D Z �1 O ,,, ImI D J w z N I> { D II.: 1 \ \.„. =- : -' - ____\ II l a o 6L -ld, d d y- Z G m O 3 1D D D D D m O O D 1 (0 M Zl 0 G z 0m NA zm <m 30 i'p # O b a M M N D zz_ m 6 N m D M V1 O ZIO <n M D1 C. y D KJ CA Z 53 CD mc., cmZ3 0 0 0 o nA mO o Z a m m<A - _< m 00 co o c =D O m N A N -0 �m oa Dz�� w w w c o Dr o o o 55MN m M °, m rnymz 3 Z m ,,�cn c� e CO m Ny N m m C N p N u N (/ < A A V p D m . w �m D -o D 0 D o > > > z -1 N w x] A z m • N A 3 =••A W N N • m 9Ww owS 0 0 0 -0 w • - M - n vi v -0 '-oz 0 _ _ 0 0 m m Z Z Z -0 00 W ti ' I- r S b -- � C C C 6. D • mxi . _ 111 O in in in m * 0 0 0 Z. • II en 6 . ” isN N N X X X m a ca D D D M m M a A m m M T m (n 0 > Z —, 0 O V A m 01 K a V > > 9 A m j X k 6 r ra w ken?- m d 0 ❑ CO A ❑ M C C r ❑ N Z Z ❑ G-o m R. O Z o-- ADO a 1:'m =3 ' � m • >A D D m o _o _o mrny wNaN Ow S> TT. 'Li „ 0 p-1 p A O — 0 T. m m Z m Z 0-1 D n 3 3 a0 x w '- v rn 0 ao i �}- •. m m Z II x • :: Ill I o, 0 ID -1 f (1, N N N 0 AA A N a K It _ o c• m 7 N Z • N o III -i j m Z K m O X X N N N N N D m O 02 = _ a0 m z do a ry i Om I 03 COM P. A d A 0 X as 3 Moy� D I a v y o C'�,\�\Z�C Z i _ _ � N z '> o 9 ay N N N g x ��: SI1SS41 0 0 o y 0 ,0 m m N (n 0 1 - 0 0 0 0 rp, 0 G) 0 2 m m m x ; ; 2. Dm (n 0 v D-I JO 0 0 0 o 0 < m A CD (N'0 Z r Dm-C oo3 o : . • • co cn y> y D -I r Z 011 Mcmo • zOzA 0m<m13 o mD m m0�7W ynA(miiCOZA N xi C m •; in z�O z o m c D m 2_0=v z m 0 Z 0_.--n(n O,.. -Fin Z `+ u, w w��CZ] ��Dam mD� pZOZ<�COC �0(Oi�Z Df~Ii fmTl y(ci� U�iO to m 3 6m C zcDmZ2 cOmcDi z20finoZ� �m<�(no ' 0 -I 0 0 (nZm(nD n02 Om<0r�y� o(npz m D m N u _ D 0 p 0 mp Z Z <N 2 m m r<7(nC Z 0 D �� z m Xi w D m { (a z0 z z >{ cn m y 0 m 2][w�22 `f°»0 , _ n m ,� §*§m§ off o,- 4 mm>mmmm -30� - # 2 CO£ - , cn o00000 e)/$m �� - om>mmm> 55 `>> § k § 8 ` ! ! ! cn„ >[»g 0 j\//f 0 0 0 z 0 o ) ) ) k�` , �\}\� • § k()/§ m \ \ 7-1 m \ i | 1 Km m `cn m ;§G 2 HZ `2W . . . 6:Fr- $2 A ) m Al\§k/ _ xi cn \0 \) 0 .. ! 2 _ 23 ©77, In k / ) ' o �2 \ - )j\k ? k § ��� { onscoo<8 2f\7� `��0 � ° �cn c�� >/22`\ \\§�\ <�T0C Iv CD IQ \�o\} jk//F ° ` § 0¢1 > 71 > G) > § § m ` \§) m 19 xi - HUH §/{{§ § I _ 52/ = » - dz — A mm%5 E 0> ` \\)r 0 ri x/ \ j j j _ ad ` 0 > 22 > > / $ 3.2-, (o > ? > @ ® ` Cn ` o \ 0 /I0I -i m 8\ 0m£ t .I >C/ —Imo 0.,>0 0 S \ m=z \G H r- 8£ 2 0 § , ! ( i ir.)§ ` -—CD / „ ¢ 0 )( __�§M m ) >FiNo \ ))0,CD -D fo § 2 222 ( m // k >17 } m / / 77 }/ <!$/ §!` ! §� } A {§ $/ (}ƒ/ ^ Cin m k ` �k �\ {\\q co f f � s �.. {3K£ { 2 in 0 r [ ° - Nif.iJ \ D m?n 05 vDv rvon 00,2,rm- O D ��Om "'Av�m rims; vn�-Zrr rOHOH3 3 0000r 9 ri00nm O C .mA,-m 1 Anmm co m r m Z 0 C O n G = m p T m r G O 0 r D y _ m g mmo00 O n01 P. may§ m Z . Cfl D Ehe I r T O ff 2 N -i GY z N p D O D m Z 3 m T 6 n D .9 A p1 Born g m r m Z m rn z n G mmy OD f� v y Z O O m _ a A m 9 O V O D z §. . O n W m W Z mD00 ' ''pp NAZ-Ii, y��� mGs 00OOIrrk (n N .Om gr Y O.lml� X 33 PZZzo JHH 3 P0 mp0 Nm Om G. �.IJ 0p_ m O No m ZN 0 2 _.A�� okmA • 00 3 o z� ,<be-cmc „o�'o Cl) tf7 a,oa2 ;o oo < O z . rn: zm� C opt.. _ mozo mz o E 8w �a_m dJ .9 1_' �1 , _ o g *J Tm r "0 mmo .A0 1.3Z(� �Z*o —1 wy " y 10 v N A oOmD `^s itpm'1 0® n m3 wNom * o[Oimm m® o < i g0 tt7 tl? c ,o O I A A: Z C z $ m OgE zmmmOEpo Es1 OfzuN Orr=r ObZim,o 020x DNN2mw>z pNCO Amm mor.765om5m y NN rrvD r93°(yil yil 1C= mZrON2�mn Omr. m(D< OTO D N O n m m m D D Cl�f, ZOO Zx�OmrZm �2m {ZD�WO=my nA< CpD D��2 Cgg T m Om D m AyD m0 < ZO fA O L n 2 !) m N,� h1iI ! LIIZIEI! L7 < 5mmD -m-I fn 5 �`O <" y mTm N9cn o b o ui yOcrlpo 30om o O D O A o D x 5 v > v p m m x NACm k in o m O y rnm rn m m m D m Z n Iii D 0,0 f. F. y m 2g m