HomeMy WebLinkAboutBLDE-23-000863 .___a
0
Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-000863
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.1/07j
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:8/16/2022
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) 12 GILL AVE
Owner or Tenant PAOLA LIMA Telephone No.
Owner's Address 12 GILL LN,WEST YARMOUTH,MA 02673 // JJJJ
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo`l"
Purpose of Building Utility Authorization No.- �/
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters s
New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters .5.
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
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 NW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Sinns No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total tIP 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 ❑ OTHER 0 (Specify:)
I cerofy,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 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$50.00
[ j - -
Commonwealth.o`lrlassachusette Official Use Only
Eu cc�� n Permit No.�,e„
"" .2 epartment o/.7ire Jervicea
5
Occupancy and Fee Checked
: BOARD OF FIRE 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: 08/15/2022
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) 12 Gill Ave, Yarmouth MA 02673
Owner or Tenant Paola Lima Telephone No. 508-367-0094
Owner's Address Same as Above AAA
Is this permit in conjunction with a building permit? Yes n No ri (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 /240 Volts Overhead V Undgrd❑ No.of Meters 1
New Service 100 Amps 120 /240 Volts Overhead 0 Undgrd n No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New 125/100A main panel add surge protection update
grounding and bonding, New 100A riser and meter main with service mast
Completion of the followingtable may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T of T
Tr No Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingAbove In- No.of Emergency Lighting
Pool 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.oInitiatinnggn Deteon and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
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 C Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
17 No.of Devices or Equivalent
No.of Water Kam, No.of No.of Data Wiring:
Heaters Signs Ballasts 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: New 1251100A Main Panel add surge protection update grounding and bonding.New 100A riser and meter main with service mast
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $3458.00 (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 ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on II application is true and complete.
FIRM NAME: Sunrun Installation Services LIC.NO.:4316 Al
Licensee: Nathan Ashe Signature LIC.NO.:21136A
llfapplicable,enter "exempt"in the license number line.) Bus.Tel.No.:978594'3519
Address: 695 Myles Standish B-VO Taunton MA 02750 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 PERMIT FEE:
Signature Telephone No.