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HomeMy WebLinkAboutBLDE-23-001148 Commonwealth of ' °� Official Use Only ift tL1 Massachusetts Permit No. BLDE-23-001148 \a"0 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:9/1/2022 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) 7 SMITH RD Owner or Tenant NORMAN GANDERSON Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. f�:) Existing Service Amps Volts Overhead 0 Undgrd 0 N No ters New Service Amps Volts Overhead 0 Undgrd 0 'ram O. Number of Feeders and Ampacity >� Location and Nature of Proposed Electrical Work: Installation of solar PV system(14 Panels 5.110 KW) ! ?)4 4 Completion of the following table ma 11 "4; d b -t e ctor ofWires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ,,�<\��� �• Total Transformers ; KVA No.of Luminaire Outlets No.of Hot Tubs Generators O KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting kiln,. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 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 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent KW No.of No.of Ballasts Heaters Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21136 Address: 166 Hunt Rd, Chelmsford MA 018243747 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$150.00 I (qt1i .gIC, RECEI ED /�j� // on+mo ewlth ol///aeeachu�e Official Use Only _'mla AUG 31 2 2pa melto1-}ire�ervices Permit No. 3� ' 116 44‘, Occupancy and Fee Checked B li 8' VENTION REGULATIONS [Rev. 1/07] ) By: — (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: 08/29/2022 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) 7 Smith Rd,Yarmouth MA 02664 Owner or Tenant Norma Ganderson Telephone No. 315-382-2327 Owner's Address Same as Above AAA Is this permit in conjunction with a building permit? Yes 7 No I I (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120 /240 Volts Overhead 7 Undgrd g ri No.of Meters 1 New Service Amps / Volts Overhead I I Undgrd g ri No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of an interconnected Roof Mounted PV system 14 Panels, 5.110 KwDC. 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 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or 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 Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KWData Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER:Roof Mounted Solar Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6976.00 (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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on tl application is true and complete. FIRM NAME: Sunrun Installation Services LIC.NO.:4316 Al Licensee: Nathan Ashe Signature LIC.NO.:21136A (If applicable,enter "exempt"in the license number line.) 978-594-3519 Address: 695 Myles Standish BLVD Taunton MA 02780 Bus.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. 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