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HomeMy WebLinkAboutBLDE-23-005746 of Commonwealth of Official Use Only Airk , ki Massachusetts Permit No. BLDE-23-005746 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:4/14/2023 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) 76 CAMP ST Owner or Tenant NUNZIO NAPOLITANO Telephone No. Owner's Address 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 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: Replace main panel. 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 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 Space/Area HeatingLocal 0 Municipal No.of Dishwashers P KWConnection Other: 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 Signs 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.) 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.: 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. I Owner/Agent I PERMIT FEE: $50.00 Signature Telephone No. at\v. 1 IV 1'2,3 M Please email permit to eastmapermits©sunrun.com //��ommonwealtI aa// o//�M//�addacl//udettd Official Use Only (, p�=*= t c� c�7'7 Permit No. 3 -s7�� F. = department o f.}ire.ervice3 _`_:_ Occupancy and Fee Checked a= 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: 04/12/2023 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)76 Camp St Owner or Tenant Nunzio Napolitano Telephone No. (508)498-4489 Owner's Address 76 Camp St Yarmouth MA 02664 Is this permit in conjunction with a building permit? Yes V No 1 I (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps / Volts Overhead V Undgrd fl No.of Meters 1 New Service Amps / Volts Overhead! I Undgrd 1 I No.of Meters Q �Nufiber of Feeders and Ampacity lopation and Nature of Proposed Electrical Work: Main Service Panel Replacement U.i m N f— N ;Q— Completion of the following table may be waived by the Inspector of Wires. co i a No.of Total LL9 r--i ;o Ni.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA (,, z No .of Luminaire Outlets No.of Hot Tubs Generators KVA CI- i o Above In- No.of Emergency Lighting Ns.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ICI No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones L 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 No. Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local DIMunicipalConnection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs 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. Estimated Value of Electrical Work: $3800 (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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:SUrlrUn Installation Services Inc. LIC.NO.: 4316 Al Licensee: Nathan Ashe Signature LIC.NO.:21136 A 978 594-3519 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 978 793-7881 Address: 695 Myles Standish Blvd. Taunton, MA 02780 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. Please email permit to eastmapermits©sunrun.com