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HomeMy WebLinkAboutBLDE-23-003281 Commonwealth of Official Use Only Permit No. BLDE-23-003281 L Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:12/13/2022 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) 9 NAUSET RD Owner or Tenant MURRY DAVID H Telephone No. Owner's Address MURRY LIRA S, 11 NAUSET RD,YARMOUTH PORT, MA 02675 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(19 Panels 7.410 KW) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 21136 Licensee: Nathan A Ashe Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N . Address: 166 Hunt Rd, Chelmsford MA 018243747 *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. I PERMIT FEE: $150.00 % olli 10170 eg 3(z (7, ee -- r _ E `' E I V DD� ®7i2 Official Use Only ea o adsac elfa ��_ r lit*===_ Permit No. l �' +_it022_�l DECGEC ��+ P„ tment o`�ire�ervice9 -fi _ Occupancy and Fee Checked - _BOARD A(1R F N ' REVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING DEPAKTM A ---  - 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 TYP ALL INFORMATION) Date: I 'a o Lc _ or Town of: m U�� To the Inspector of Wires: City �Q,'I� 0 By this application the undersigned gives notice of his or her intent'on to perform the electrical work described below. Location(Street& Number) q n f -t J1- 7�� Owner or Tenant Li C (1 I r 'U {C Telephone No.S6 Ql I Owner's Address .yyli _.)19..-eN.11._.- Is this permit in conjunction with a building permit? Yes M No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service O9,00 Amps 1'U/ 2116/olts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i - (.onnef k_A roD o f si4A, gpt'L�-t,c1Shy (()`hied Completion of the Ilowing table may be waive by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons No.of Self-Contained �J No.of Waste Disposers Totals:I I KW Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other E HeatingAppliancesSecurity Systems:* No.of Dryers KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: - [ Attach additional detail if desired,or as required by the Inspector of Wires. of Estimated Value of Electrical Work: ) 01 1 C,. a o (When required by municipal policy.) Work to Start: 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 ❑ J OTHER ❑ (Specify:) 3 I certify,under the pains and penalties of perjury,that the information on this application is true LIC.nd complete. ilNOlet . Al FIRM NAME: Sunrun Installation Services ��� LIC.NO.:21136A Signature Licensee: Nathan Ashe Bus.Tel.No.:978-594-3519 (If applicable,enter "exempt"in the license number line.) But.Tel.No. Address: 695 Myles Standish BLVD Taunton MA 02780 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. the Licensee does not have the liability OWNER'S INSURANCE nsurance coverage normally nature ure below,I hereby waivAIVER: I am aware te this requirement. I am the(check one)1❑owner Ej owner's agent. required by law. By my stgI Owner/Agent Telephone No._____________I PERMIT FEE: $ Signature < 0)z * < 4 a m y - : 4 ! N - g i k ^ ' D < < < < bm m m cob0000 . m m ys t ,6 i $ a n _ - Am = S n 3 W . rN pmn A ! y ym m O , O ( Z 3 ` A Am A z < 0- n D. m m O Q D < m -� D 30 OC 'r0 V, 9 X u 8 3 ., Z m > Z mm Z . A Cl) '°_ 1 >S y - '' L-1 m rig Mt-) < ) ® v v 0 0 zA co o acn s._,. x. 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