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Home My WebLink AboutBLDE-22-004491 or Commonwealth of Official Use Only 11.11% Massachusetts Permit No. BLDE-22-004491 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:2/14/2022 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) 86 EILEEN ST Owner or Tenant Juliet Dawkins Telephone No. Owner's Address 86 EILEEN ST,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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: Upgrade service 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 TotalTransformers 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. Total 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 Heating KW Local ❑ Cct M n ici lion al 0 Other: 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 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 Estimated Value of Electrical Work: (When by municipal policy.) 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 Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) 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 'PERMIT FEE: $50.00 I Signature Telephone No. * l0p(71v Commonwealth o/Maiack444..4 Official Use Onl 1: `1:-`�r Permit No. rJ�i� `'C� Ali ' .LJsparinutnd o f..Iu Sewico3 1 j(_ v' Occupancy and Fee Checked ' BOARD OF FiRE PREVENTION REGULATIONS [Rev. I/07j (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:2/8/2022 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)86 Eileen St Yarmouth MA USA 02675 Owner or Tenant Juliet Dawkins Telephone No. (508)680-2234 Owner's Address same as above Is this permit in conjunction with a building permit? Yes Li No (Check Appropriate Box) Purpose of Building dwelling Utility utho ' tion No. Existing Service 100 Amps 120 / 240 Volts Overheads Undgrd No.of Meters 1 New Service 100 Amps 120 / 240 Volts Overheat)❑ Undgrd No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New 125/100A panel add surge protection update grounding and bonding keep the meter as is Completion of the following table may be waived by the ran KVA Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting 100 grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tops) No.of Alerting Devices f-Contained No.of Waste Disposers Heat Pump Number Tons KW -No.of Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal [JOther 1 1 Cyonnechon No.of Dryers Heating Appliances KW SecNo of Deices or Equivalent I No.of Water K`,4, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 1 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent 1 OTHER: 1900.00 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: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 n OTHER Specify:) I certify,under the pains and parties of p ,that the mation on this application is true and complete. FIRM NAME:SUnrUn Installation Services LIC.NO.: Licensee: Nathan Ash Signature LIC.NO.:21136A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:9785943519 Address: 696 Mylc�Standish Blvd Taunton MA " „ Alt.Tel.No.: Per M.G.L.c. 14 ,S. ,secunty 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 rance nage normally required by law. By my signature below,I hereby waive this requirement. I am the(check oneuownerowner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$