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HomeMy WebLinkAboutBLDE-23-003807 Commonwealth of Official Use Only -,y I ' Massachusetts Permit No. BLDE-23-003807 :' 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:1/13/2023 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) 11 RIDGEWOOD DR Owner or Tenant CHRISMOND JEANJACQUES Telephone No. Owner's Address 11 RIDGEWOOD DR,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 7.41 KW)(NO ESS) 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 Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Tota No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local 0 Municipal 0 Other: No.of Dishwashers p Connection HeatingAppliances KW of Dryers PP W Security Systems:*No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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.No.: o. 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 (PERMIT FEE: $150.00 I Signature Telephone No. Commonwealth �/�� Official Use Only l.om.morewea[th o��a3eac�u.3etth - _ cc�� Permit No. €3-3 07 _ ._ 1 nepartment 43ire Service3 -__-_ � Occupancy and Fee Checked tn,,==_�.! ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA ION) Date: 1 1 I 202 City or Town of: (/Vl/Ix) To the Inspector of Wires: By this application the undersigned gi es notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1\ �.,(- 1 0 c Owner or Tenant ONn.. rn. r'.-GO c• •/', _I one No.SX01 S-)., -.aL0 f Owner's Address SrA-(VD__. 6(. ' a ` Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Residential `` ``^�� Utility Authorization No. Existing Service 100 Amps � Z`-I/ its Overhead Undgrd❑ No.of Meters I New Service Amps / Volts Overhead 1 ! Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: cir\S—t I I I&( rCat 1'0 iltr—e0 I S 1 * N Completion of the following table may be waived by t e 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 No.of Detection and No.of Switches No.of Gas Burners 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/Alerting Devices Mu No.of Dishwashers Space/Area Heating KW local❑ Connicipalnection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters h«° Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: �^ �C Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of ec -cal Work: I I lc- 7 (When required by municipal policy.) Work to Start: Z 1 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 [21 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on th' application is true and complete. FIRM NAME: Sunrun InstallationServices, Inc. LIC.NO.: 21136A Licensee: Nathan Ashe LIC.NO.: 4316 Al (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (978)594-3519 Address: 734 Forest Street,Suite 400,Marlborough,MA 01752 Alt.Tel.No.: *Per M.G.L.c. 147,s.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)0 owner ❑owner's agent. 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