HomeMy WebLinkAboutBLDE-23-000478 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-000478
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IRev.t/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:7/29/2022
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) 24 HAZELMOOR RD
Owner or Tenant THAYER WINSLOW B III Telephone No.
Owner's Address THAYER N C,24 HAZELMOOR RD,SOUTH YARMOUTH,MA 02664
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: UpgradeS89[Ice L- ,y9, 7� A/W'
�/ 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 0 In- ❑ No.of Emergency Lighting
grnd. grad. 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 Number Tons KW No.of Self-Contained
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 Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters ,Signs No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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.: 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 ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$50.00
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L——t -_° , N Permit No. ez3 -oq78
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_�_f=- � t a Occupancy and Fee Checked
'' = / J EiOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]
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BUILDING--- - ' .DEPARTMENTR PERMIT TO PERFORM ELECTRICAL WORK
By ATION FO
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: 07/27/2022
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) 24 Hazelmoor Road, Yarmouth, MA 02664
Owner or Tenant Winslow Thayer Telephone No. 774-212-7268
Owner's Address 24 Hazelmoor Road, Yarmouth, MA 02664
Is this permit in conjunction with a building permit? Yes [1 No Z (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. N/A
Existing Service 100 Amps 120 / 240 Volts Overhead X Undgrd ❑ No. of Meters 1
New Service Amps / Volts Overhead ❑ Undgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Main Panel Replacement -- 1004 "ear rvAc_k;N t
C %Se/ •
Completion of the following table may he waived by the Inspector of Wires.
No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. Tot
Trans formers 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
of
No. of Switches No. of Gas Burners No. Initiating on Dete and
Devices
No. of Ranges No. of Air Cond. Total
g Tons 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 Heating KW Local ❑ Municipal ❑
Connect on Other
i
No. of Dryers Heating Appliances KW Security Systems:*
No. of Devices or Equivalent
No. of Water KW No. of No. of Data Wiring:
Heaters Signs Ballasts 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: 2338.00 (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 I BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on thi application is true and complete.
FIRM NAME: Sunrun InstallationServices, Inc. / LIC. NO.: 4316 A1166
Licensee: Nathan Ashe 1 ..,-4, LIC. NO.: 21136A
(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) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
Email: mapermits@sunrun.com