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HomeMy WebLinkAboutBLDE-23-000315 Commonwealth of Official Use Only Il;y Massachusetts Permit No. BLDE-23-000315 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:7/20/2022 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) 6 RISEKNOLL PATH Owner or Tenant Robert Skiver 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(25 Panels 8.5 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 Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 ❑ 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 Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) 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 & t4 ( t � g/tC 4/N) t ��� R E ` :-/ 11,-,!0=1117-------i, ICl ai tfic Use On..uommorcuiea l�o assac wells�UL' = tcc� c�77Permit No. � e[Jeparlmenl o� }ire�ervicesBUILDINt _�} NT Occupancy and Fee Checked By ".�,_�OARD OF FIRE PREVENTION REGULATIONS [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),5�277CCMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-6-p City or Town of: YarmNifh To the Inspector of Wires: By this application the undersigned ives notice of his r her intention to perform the electrical work described below. Location(Street&Number) IT, IR kr01 l t"L1 HI 'a p� Owner or Tenant Q r Telephone No.7 • `� Kn Owner's Address `( e6 QO't Is this permit in conjunction with a building permit? Yes '1/ No n (Check Appropriate Box) Purpose of Building 'i t 1 1 Utility Authorization No. Existing Service 00 Amps 1. /N o Volts Overhead Undgrd n No.of Meters I New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity 11 ,�/ / Locati n and Nature of Proposed Electrical Work: in5/Gd/ /,Qn o /� �uI, pho�t'i\Io\ c C 3C 3 r S �m S I g.5Kt.3 05t po c s 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 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 of No.of Switches No.of Gas Burners No. InDete and Initiatinnggon Devices Total � No.of Ranges No.of Air Cond. Tons No.of Alerting Devices v� No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 4 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Cyonnection No.of Dryers Heating Appliances KW Security No. stems:* f'Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications NeiceorWiring:q al Y g No.of Devices Equivalent OTHER: —V) ��` Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Valueno ef E ical Work: I�."Ilso.QO (When required by municipal policy.) Work to Start: A„1 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 cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE DI BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the informati on this application is true and complete. FIRM NAME: Sunrun Installation Services 1 LIC.NO.:4316 Al Licensee: Nathan Ashe Signature LIC.NO.:21136A (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:978-594-3195 Address: 695 Myles Standish Blvd Taunton MA 02780 Alt.Tel.No.: *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. 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