HomeMy WebLinkAboutBLDE-23-001916 Commonwealth of official use only
�� ,• Permit No. BLDE-23-001916
�'E",,� � Massachusetts
`C 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:10/11/2022
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) 2 CAPT BLOUNT RD
Owner or Tenant ROSATO JAMES A Telephone No.
Owner's Address 2 CAPT BLOUNT RD, SOUTH YARMOUTH, MA 02664 / ''.,
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bert)
Purpose of Building Utility Authorization No. .,w.
Existing Service Amps Volts Overhead ❑ Undgrd 0 No.,Dfill tetcrs
New Service Amps Volts Overhead 0 Undgrd 0 No.Io1 ters '-''�r'�., ;/
Number of Feeders and Ampacity ! ,?)`,,
Location and Nature of Proposed Electrical Work: New 100 amp riser
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 KV2),
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. Ton l No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: ,Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ 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 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 perjuly,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
I_
RECEIVED
,nweallh o Official Use Only
-_ ��T 1120Z2 `�a99ac�ett9
-'-_ t•: Permit No. � ei (6,
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~ .1 %. •admen(o`_tire Servicel
', TIDING DEPARTMENT Occupancy and Fee Checked
y,- :* A I:! • -- : 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: i d 1 06 I 1 a
City or Town of: linrmou+tn 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) a O80 Capko jn ant) Qd ppn
Owner or Tenant J(I me 5 Qn5(1' j Telephone No. x 1 a 3 A
Owner's Address 5(l.M,f CL`S c _
Is this permit in conjunction with a building permit? Yes I No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service i00 Amps MO I yV Volts Overhead 11 Undgrd❑ No.of Meters
0 New Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
v
Number of Feeders and Ampacity
0 Location and Nature of Proposed Electrical Work: V-Q J t c6A r 6pJr and me..r rrl('x t in
y L0.1 Biel rii:EILOA
Completion of the following table may be waived by the Inspector of Wires.
__S
Total
V) No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency cy Lighting
grnd. grnd. Battery Units
E 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
,11
No.of Ranges No.of Air Cond. ToTotal
ns No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P Connection
tj No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
b No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunicationsquivalent Wiring:
No.H
Y g No.of Devices or Equiva
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: Q(� ,Ob (When required by municipal policy.)
Work to Start: 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:)
EI certify,under the pains and penalties of perjury,that the information on this application is true and complete.
l-c FIRM NAME: Sunrun Installation Services LIC.NO.:4316 Al
10- Licensee: Nathan Ashe Signature i A LIC.Na:21136A
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:978-5943519
Address: 695 Myles Standish BLVD Taunton MA 02780 Alt.Tel.No.:
a *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
g 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 I PERMIT FEE: $
Signature Telephone No.