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HomeMy WebLinkAboutBLDE-23-000285 Commonwealth of Official Use Only t.- ,i Massachusetts Permit No. BLDE-23-000285 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:7/19/2022 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) 35 CHECKERBERRY LN Owner or Tenant Errol Anderson Telephone No. Owner's Address 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(17 Panels 5.78 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- ElNo.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 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 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 0 BOND 0 OTHER ❑ (Specify:) J f `37'/-�3 I certify,under the pains and penalties of perjury,that the information on this application is true a d complete. PP P 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 iQ)A 71(7-17/4ig Cpopm 12?(L-3-6) (iWzi ma . eleA (41 (2: fig-- 640-az �� , 1 RECEIVED JUL 18 202 ° ° wealth ol Mamachweiti Official Use nl r i ---------- _ ® Permit No. _54 L D I N G DEPARTMENT rlmerel o ire�ereicee G Mir, MENT ,, ' ' ' °'_'— 'REVENTION REGULATIONS Occupancy and Fee Checked [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: 7-14-2022 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) 35 Checkerberry Lane Owner or Tenant Errol Anderson Owner's Address Telephone No.508-680-4184 Same as above Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120 /240 Volts Overhead ® 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: Installation of roof mounted photovoltaic solar systems, 5.78 kw 17 panels NO BATTERY STORAGE 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 No.of Luminaire Outlets Transformers KVA 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 INo,of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local El Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Water KW No.of No.of Devices or E uivalent Heaters No.of Si ns Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E uivalent g No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E uivalent Attach Estimated Value of Electrical Work: 10 172.00 (When required by municipaltional etail if ee policy.)d,or s required by the Inspector of Wires. Work to Start:ASAP q 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 ❑ OTHER .fP .l ❑ o fy:) I certify,under the pains and penaltiesperjury,u that the informati ton this application is true and complete. FIRM NAME: Sunrun Installation Services Licensee: Nathan Ashe LIC.NO.:4316 Al (If p Signature LIC.NO.:21136A app licable,enter "exem t"in the license number line.) Address: 695 Myles Standish Blvd Taunton MA 02780 Bus.Tel.No.:978-594-3195 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.L c.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 owner below,I hereby waive this requirement. I am the(check one ❑ Owner/Agent ❑owner's a eat. Signature Telephone No.p PERMIT FEE:$