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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 a ) 11(17/P7/ ' wi --1 i Official Use Only R E C E , — D Commonwealth o/7a�ackatta L——t -_° , N Permit No. ez3 -oq78 _I g-- q 4 2.partmant el Sire �arvicas JUL2 ' _�_f=- � t a Occupancy and Fee Checked '' = / J EiOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] .�=,4 (leave blank) 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