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Home My WebLink AboutBLDE-22-005570 Or N Commonwealth of Official Use Only 4\ Massachusetts Permit No. BLDE-22-005570 _, 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:4/1/2022 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) 90 CAPT LOTHROP RD Owner or Tenant Melisia Wallace Telephone No. Owner's Address � Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Adnil ill.(!,Box) Purpose of Building Utility Authorization No. ��, "" �� ,> Existing Service Amps Volts Overhead 0 Undgrd 0 j"tp..o`fet s+;:) New Service Amps Volts Overhead 0 Undgrd 0 <",IsIr ,'o e Number of Feeders and Ampacity 1.,4 ) .4 / Location and Nature of Proposed Electrical Work: Installation of solar PV system(24 panels 8.64 KW) 47 /t Completion of the following table may e wa. ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of /tto al Transformers No.of Luminaire Outlets No.of Hot Tubs Generators y/.......c,. A KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighti grnd. grnd. g 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 Initiative 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 Commonwealth o/ViaaaaciLaetLs Official Use eOOnnllLy''f�^y 1! Permit No. 2eparimenl o f..ire.Serviced 7 m�_-=_C( y Occupancy and Fee Checked \.= [Rev. 1/07]BOARD OF FIRE PREVENTION REGULATIONS blank) (leave 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: 3- 3-RI City or Town of: YOrrinih To the Inspector of Wires: By this application the undersigned gives not'ce of his or her intention to p rform the electrical work described below. Location(Street&Number) r . Owner or Tenant Telephone No.i l n t Q-(Q8 Owner's Address QMe Q ve Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i) f UtilityAuthorization No. Existing Service Amps / lio Volts Overhead Undgrd 11 No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Locatiop and Nature of Proposed Electrical Work: Ins- 1 I Q 0n l 1r re-4 m .edi pholn[tatc_v minr STtem ; ail j e re s $.(.L Kc,3 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 Transformeys 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 g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Securi s:* No o yf Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated ValuteMofcal Work: 15 z i , (When required by municipal policy.) Work to Start: 'a 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND ❑ OTHER ❑ (Specify:) I certify,under t p 'ns and pen ties of perjury,that the information on this application is true and complet . FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable nter e erg"inthe license number line„)...,.. I Bus.Tel.No.: :�a V` Address: 0,,.r iei Sk iUlsh R.k t I oUf tC)fl , PM , IX 7YO Alt.Tel.No.: *Per M.G.L.c. 147, 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. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. 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