HomeMy WebLinkAboutBLDE-22-004490 Commonwealth o f///amaeiaueth Official Use Only
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"� .1� c7 n Permit No. Z- t-'t�-c
iftut epartment o/,.tcre Jervicei
''I'r 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:2/8/2022
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)36 Maine Ave Yarmouth MA USA 02673
Owner or Tenant Robert Tedesco
Telephone No. (781)707-8113
Owner's Address same as above
Is this permit in conjunction with a building permit? Vest] No❑
(Check Appropriate Box)
Purpose of Building dwelling UM'y Authorization No.
Existing Service 100 Amps 120 / 240 Volts Overheat,,
p � Undgrd No.of Meters 1
New Service 100 Amps 120 / 240 Volts Overhead' Undgrtl
No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 100 amp service change
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- I I No.of Emergency Lighting
I
rnd. grnd. Battery Units 100
No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS iNo.of Zones
No.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'Tons I KW No.of Self-Contained
Totals:l j Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW LocalMunicipal I
IConnech u
on Other I
No.of Dryers Heating Appliances KW 'Security Systems:*
No.of Water No.of No.of Devices or Equivalent 1
Heaters KWNo.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent 1
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
OTHER: No.of Devices or Equivalent 1
Z�J tJ 1.00 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: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 pe to ties of p that the tt jormatiott on this application is true and complete.
FIRM NAME:Sunrun Installation Services
Licensee:1�la LW.NO.:
than Acha Signature NO.:21136A ---
III-applicable,enter exempt"in the license number line.) LIC.
Address: Bus.Tel.No.:978594351-g
Alt
*Per M.G.L.c. 14 ,s. - ,security work requires epartment of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: i am aware that the Licensee does not have the liabilit
required by law. By my signature below, i hereby waive this requirement. I am the(check one owner ■own
er's a ent.
Owner/Agent
Signature
Telephone No. PERMIT FEE: $
.-- Commonwealth of Official Use Only
1 , ,A Massachusetts Permit No. BLDE-22-004490
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:2/14/2022
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) 36 MAINE AVE
Owner or Tenant TEDESCO ROBERT J TRS Telephone No.
Owner's Address TEDESCO NANCY A TRS, 32 WINFIELD ST, DEDHAM, MA 02026
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: Upgrade service
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
Initiating Devices
No.of Ranges No.of Air Cond. Total
No.of Alerting Devices
ns
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 0 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 Signs No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
y g 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.: 21 136
(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: $50.00 I