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Home My WebLink AboutBLDE-22-007069 (2) ea‘it,1 Commonwealth of Official Use Only t A Massachusetts Permit No. BLDE-22-007069 e.vo/ 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:6/7/2022 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) 15 NANAS WAY Owner or Tenant STAHL JAY C Telephone No. Owner's Address STEPHENS ANTONIA D, 15 NANAS WAY,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(18 Panels 6.12 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Sims 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 I 8(1117-ve- (647k& 6 La)) Commonwealth o//1/aa4acha elt. Official Use Only l *vl � ,;; - cc�� cc77 Permit No. 72—70 2'epartmenl o/..tire Smoked =:14 K Occupancy and Fee Checked ® BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 1" WORK PLICATION FOR PERMIT TO PERFORM ELECTRICAL In_ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 W o (P `1v4 PRINT IN INK OR TYPE ALL INFORMATION) Date: t�-9- awed, (' . z City or Town of: Parr )(nth To the Inspector of Wires: IA By s plication the undersigned gives notice of his or her intention to perform the electrical work described below. Lo -.Io (Street&Number) a . Owner or Tenant �jQl QS n knvA Telephone No.� 7-g-tsX� Owner's Address 1 t.t l! Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) �� Purpose of Building tit[ n . Utility Authorization No. Existing Service QOI Amps /of Volts Overhead I.J,—'�/ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd�' ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i fS.Q I I a_I r r 1n-ec p MGT V0lin t ' lio r Sij ms ; a111a red G 'F KL '� V s 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 r—i In- ❑ No.01 Emergency Lighting grnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Tota No.of Ranges No.of Air Cond. Tons[ No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I T r Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other j No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters Kam' Data Wiring: No.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: I n ,n��' Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Valu o`I .Qcal Work: U 1 QQ (When required bymunicipal policy.) Work to Start: `A� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGEt, 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 'ns andpeçpniesofPerJuiY,that the information on this application is true and complet. FIRM NAME: LIC.NO.: Licensee: , Signature (If applicable enter " empt"i t e license nu Aber line).— Bus.,✓� °Y� LIC.NO.: Address: q5.r 11ie _) OIILYiS/i �/I,KJt /0(Jfl/ J9, M/l , O 177C But.Tel.No.: �:� Tel.No *Per M.G.L.c. 147,s?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 Owner/Agent (checkone)❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE: $ r