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HomeMy WebLinkAboutBLDE-22-003465 0. Csts\ `7 Commonwealth of Official Use Only �. ' _ Massachusetts Permit No. BLDE-22-003465 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:12/20/2021 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) 14 CHICKADEE LN Owner or Tenant PEREIRA JOAO Telephone No. Owner's Address PEREIRA MARCIA, 14 CHICKADEE LN,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(36 Panels 12.78 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 Ton 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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 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 41 1z C,l?P /eciLw/7--9/2,817 (_ LAN s P L b C�o tt mmonweah o`//la��achuoetts Official Use Only 12- ✓ !i i .Z)epartment o`.}ire ervices Permit No. =ff— Occupancy and Fee Checked = � BOARD 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),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/8/2021 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her i tention to perform the electrical work described below. I 1 Location(Street&Number) 1\4 C C, C ✓ ,� o ( � Owner or Tenant R.-2 ` �,f . i r-CJ Telephone No. ,i7f C1Z LIG Owner's Address same as above ` Is this permit in conjunction with a building permit? Yes 2 No n (Check Appropriate Box) Purpose of Building dwelling Utility Authorization No. 0 z a sting Service Amps I.� CVolts Overhead Undgrd❑ No.of Meters ` © �w Service Amps / Volts Overhead �' ❑ Undgrd ❑ No.of Meters _ r�x Ni nber of Feeders and Ampacity LLI !' b:ation and Nature of Proposed Electrical Work: Installation of roof mounted photovoltaic solar systems, C.) c� I panels (, . �� kW W o CZ of the following table may be waived by the Inspector of Wires. Er cc co Nt,of Recessed Luminaires No.of Ceil.-Sus No.of Total p (Paddle)Fans Transformers KVA ---Ne.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grad. ❑ 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 Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number J Tons f KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters Kam' Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: cAttach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: � r _ (When required by municipal policy.) Work to Start:1/8/2022 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 2 BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o fperjury,that the information on this application is true and complete.FIRM NAME:Sunrun Installation Services Licensee: Nathan Ashe /Ake./ LIC.NO.: SignatureLIC.NO.:21136A (If applicable,enter"exempt"in the license number line.) Address: 695 Myles Standish Blvd Taunton MA 02780 Bus.Tel.No.:9785943519343116 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.l.Noo';8573343116 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(check one 0 owner 0 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$