HomeMy WebLinkAboutBLDE-23-002263 \ j.X Commonwealth of Official Use Only
AinMassachusetts Permit No. BLDE-23-002263
' 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:10/27/2022
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) 99 SETUCKET RD
Owner or Tenant TUCKER PAUL A Telephone No.
Owner's Address TUCKER LINDA, 99 SETUCKET RD, YARMOUTH PORT, MA 02675-2153
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(24 Panels 8.76 KW)(NO ESS)
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
Initiatine Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
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 ❑ 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 ❑ 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 LW.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
/f�ter�
RECEIVED
IN. C,onunonurealth o//// 3aqi 6 2022 jOf�fici�all �
Use Only
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i=;-4 ,4y cc/�� aa'}} C� Pemut No.
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I <,l)eparimenl o/.ire Jerv_ic�_-- ------- ----
BUILDING DEPARTMEVOc:upancyandFeeChecked
` BOARD OF FIRE PREVEN/111 J v, 1/07
(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
41 All ra ork to be performed in accordance u ith the Massachusetts Electrical Code(MEC),527 CMR 12.00
V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/25/2022
City or Town of: Yarmouth, MA To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
7 Location(Street&Number)99 Setucket Rd
Z. Owner or Tenant Paul Tucker Telephone No. 508 364 6068
0 , Owner's Address 99 Setucket Rd Yarmouth MA 02675
(— tJ� Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
-r (I) Purpose of Building Residential Utility Authorization No.
til Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
k New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
4 Number of Feeders and Ampacity
-1 L. Location and Nature of Proposed Electrical Work:
4) Installation of an interconnected PV system including 24 panels at 8.76 Kw DC NO ESS
Completion of the following table may be waived by the Inspector of Wires.
\
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
t. No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.ofLmergency Lighting
No.of Luminaires Swimming Pool 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. Ton 1 No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: -_'.._.__...._._....___.....___....._. Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P Con nechon 1
HeatingAppliances SecuritN Systems:
No.of Dryers PP KW No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
g No.of Devices or Equivalent
OTHER:Roof Mounted Solar Panels
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $11,957.00 (When required by municipal policy.)
Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of pedury,that the information o this application is true and complete.
FIRM NAME: Sunrun Installation Services Inc. LIC.NO.: 4316 Al
Licensee: Nathan Ashe Signature LIC.NO.:21136 A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 978 594-3519
Address: Alt.Tel.No.: 978 793-7881
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$
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