HomeMy WebLinkAboutBLDE-23-004252 0.----,,,\ Commonwealth of Official Use Only
E . A Massachusetts
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 Codc (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/31/2023
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) 10&10A RUBY ST
Owner or Tenant MITROKOSTAS SOCRATES Telephone No.
Owner's Address MITROKOSTAS NAFSIKA, P 0 BOX 260, 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. ,f/,�.
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
00
Number of Feeders and Ampacity .r�
Location and Nature of Proposed Electrical Work: Service Conductors refeed and Main Panel Replacement
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 KW Security Systems:*
No.of Devices or Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens No.of Devices or Eauivalent
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.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
Please email per it%gectmaper iits. r run.com
Commonwealth oIto
Nell 1 2023 Official Use Only
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r�ENTupancy and Fee Checked
�—,'' BOARD OF FIRE PREVE T I R ULA QNS
_ ___�Rrv. 1/07]
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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: 1/30/2023
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) 10 Ruby St
Owner or Tenant Anar Abasov Telephone No. (774)368-3800
Owner's Address 10 Ruby St Yarmouth MA 02673
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps / Volts Overhead® Undgrd❑ No.of Meters 1
New Service 100 Amps / Volts Overhead® Undgrd❑ No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Service Condudctor refeed and Main Panel replacement
Completion of the followingtable may be waived by the Ins ector of Wires.
.of No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tt
Transformers KVA.a
No.of Luminaire Outlets No.of Hot Tubs Generators K\•.A
No.of Luminaires Swimming Pool Above ❑ In- ❑ 'o•of Emergenc}'Eighhn +
grnd. grnd. Battcr t nit.
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners 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❑ Municipal ❑ other
Connection
No.of Dryers Heating Appliances KW S ecurity SN stems:`
No.of bevices or Equivalent
No.of Water K�`. No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Eqquivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $4900 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME:Sun run Installation Services Inc. Itili. LIC.NO.: 4316 Al
Licensee: Nathan Ashe Signature LIC.NO.:21136 A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.;978 594-3519
Address: 695 Myles Standish Blvd.Taunton. MA 02780 Alt.Tel.No.:978793-7881
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$
Please email permit to eastmapermits@sunrun.com