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Home My WebLink AboutBLDE-23-005821 \113 Commonwealth of Official Use Only U Massachusetts Permit No. BLDE-23-005821 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:4/20/2023 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) 21 HAZELMOOR RD Owner or Tenant MCGOVERN PANTALEON Telephone No. Owner's Address 21 HAZELMOOR RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel 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. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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:$50.00 tC/1/ A ((l3(2 Please email permitBB to eastmapermits@sunrun.com . \ Commonwealth o`///aMachu-dtte Official Use Only t =*__ t c� ` �7 �`7 Permit No. EZ3 7 67-4 c �__m__ .2epartment° ire Jervice! \-:-.i— BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked`�� [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: 04/18/2023 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)21 Hazelmoor Rd Owner or Tenant Mcgovern Pantaleon Telephone No. (617)291-8756 Owner's Address 21 Hazelmoor Rd Yarmouth MA 02664 Is this permit in conjunction with a building permit? Yes VI No ri (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps / Volts Overhead ® Undgrd g ❑ No.of Meters 1 New Service Amps / Volts Overhead n Undgrd r-� g n No.of Meters Number of Feeders and Ampacity 0 Local,on and Nature of Proposed Electrical Work: L1! o u' New 125/100A main panel add surge protection update grounding and bonding, N Completion of the following table may be waived by the Inspector of Wires. W , i of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total `—+ Transformers KVA 0 c j g q of Luminaire Outlets No.of Hot Tubs Generators KVA ((j Q Ni.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting �,, grnd. grnd. ❑ Battery Units m .of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones "I.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: r 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 No.of Devices or Equivalent Heaters KW No.of 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $2800 (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 certi under thepains andpenalties o perjury,that the information on this application is true and complete. lY, lP .1rJ', FIRM NAME:Sunrun Installation Services Inc. Licensee: Nathan Ashe LIC.NO.: 4316 Al Signature LIC.NO.:21136 A (If applicable,enter "exempt"in the license number line) 1;t_ Address: 695 Myles Standish Blvd. Taunton. MA 02780 Bus.Tel.No.:978 ssa-ssts Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. 978 793a881 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/Agent ❑owner's a ent. Signature Telephone No. PERMIT FEE: $ Please email permit to eastmapermits@sunrun.com