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Home My WebLink AboutBLDE-23-001816 Commonwealth of Official Use Only AMassachusetts Permit No. BLDE-23-001816 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:10/5/2022 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) 138 LONG POND DR Owner or Tenant JOHN SPIGNESE Telephone No. Owner's Address I 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 panel&grounding. 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 nd. ❑ nr ❑ No.of Emergency Lighting 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 Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: J 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 Devices or Equivalent KW No.of No.of Ballasts Data Wiring: Heaters Signs 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21136 Address: 166 Hunt Rd, Chelmsford MA 018243747 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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:$50.00 r D commonwealth o/Ma69achuoettd Official Use Only OCT '-- '� / Services Permit No. C 0 a =_ '_ elnartment o ire = -= BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 46 BUILDING DEP*°�T...•-NT [Rev. 1/07 By --- (leave blank) CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC ,527 C��R 12.00 (PLEASE PRINT IN INK OR T E ALL INFORMATION) Date: /0/D3/0a x- City or Town of: 0(0 1 To the Inspector ires: By this application the undersigned gives notice of his or her intention to perform the electrical�tides described below. Location(Street&Number) / 3% L o✓l, PO 10' 7 r Owner or Tenant / //� /� Va rmo�L MA- dry to to Li V tin �J pr�✓lD_S� Telephone No. 7 7 LJ a Owner's Address Same- a c 0 i o e act/ Is this permit in conjunction with a building permit? Yes Purpose of Building /�,, — "` NO �`� (Check Appropriate Box) -f'Gt2.$ )JCL/ Utility Authorization No. Existing Service /D 0 Amps /2-0/ay0 Volts Overhead Undgrd E No.of Meters New Service Amps / Volts Overhead I I Undgrd Number of Feeders and Ampacity g ❑ No.of Meters Location and Nature of Proposed Electrical Work: ie1/VAovyv as Lk/y -'te a Completion `5✓l0un p� ( :pletion of the following table ma ri¢waived No.of Recessed Luminaires } by the Inspect of Wires. No.of Ceil.-Susp.(Paddle)Fans No.of Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. r-i Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 Tons 1 KW No.of Self-Contained Totals: i Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal { ❑ Other No.of D ers Connection �3 Heating Appliances KW Security Systems:* No.of Water No.of Devices or__ E uivalent Heaters No.of KW No.of Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Telecommunications Wiring: Total HP No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: . 3, , .0 U (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the perfo ance of electrical work may issue un the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The less undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE CO BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Sunrun Installation Services Licensee: Nathan PShe LIC.NO.:4316 Al Signature LIC.NO.:21136A (If applicable,enter "exempt"in the license number line.) " Address: 695 Myles Standish BLVD Taunton MA 02780 Bus.Teh,N'o::978-594-3519 *Per M.G.L.c. 147,s.57-61,security work requires Dept tinent of Public Safe Alt::' . 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 a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: $