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HomeMy WebLinkAboutBLDE-19-002270 ,r �q'� #ommonweaith of Official Use Only ;�f kik Massachusetts Permit No. BLDE-19-002270 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 ININK OR TYPE ALL INFORMATION) Date:10/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm tt cetrical work describad b low. Location(Street&Number) 7B VIRGINIA ST VprLAA--c - uTcti t 19,0 Owner or Tenant HABITAT FOR HUMANITY OF CAPE COD INC Telephone No. Owner's Address 411 ROUTE 6A SUITE 6,YARMOUTH PORT, MA 02675 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 ❑ Undgrd 0 , No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(24 Panels 7.56 kW) 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- CINo.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 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: (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: BRIAN K MACPHERSON Licensee: Brian K Macpherson Signature LIC.NO.: 21233 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:32 GROVE ST,DBA TRINITY SOLAR,PLYMPTON MA 023671306 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 , 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:$150.00 raval/( zawoht4 11(iVis iE) - e (% 4n& ,e_ • C. Cnnuwamuealth n`reawacsuartta ()Ilicial Use Only 't r tt Permit No.g=270 Y - 2)..ra nlwnt n/._lies Sgruere! I fig',• Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev.Vol( (leave Mink) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the M.vssadiusetts Electrical Code IME(.), 527 CMR 12.011 (PLEASE PRINT OINK OR TYPE ALL(NFORM4TPO.N) Date: 10/12/18 City or Town of: W Yarmouth lir the inspectorgig Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7B Virginia St. Owner or Tenant Pallas Hu}rhicnn Telephone Na SnR-211B-9914 Owner's Address 7R Virginia St . Is this permit in conjunction with a budding permit? Yes iiiNo ❑ (Cheek Appropriate Box) I Purpose of Building Residential litility Authorization No. Existing Semite 200 Amps 120/240 Volts Overhead 0 Undgrd 0 No.of Meters 1 1 New Service _ Amps / Volts Overhead 0 Ifedged❑ No.of Meters — Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 7.56 kw solar panels on roof.Will not exceed roof panel,but will add 6'to roof height.24 total panels. (ilmplraon of thefotfuwar$Iabbfe muy be waived by 11w Inspector of It7rer. No.of Recessed Luminaires :Sus No.ofCeilp.(Paddle)Fans No.°r " No.oTransformer! KVA oral _ _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No,of Luminaires SwimmingPool Above ❑ In- ❑ No.o1 Emergency Lighting ernd. Krell. Battery galls No.of Receptacle Outlets No.of Oil Burnes FERE ALARMS No.of Zones No.of Switches No.of Gas Burners No.lanRDetNntg even lane Devices Total No,of Ranges No.of Alr Cond. Tons No.et Alerting Devices Ni,.of Waste Disposers (teat Pump Number_ Cons_ KW No.of SdFContained P Totals: Detection/Alertin Devices _ No.of Dishwashers S ace:Area Hearin KW LocalM°ntctpal ❑ Other P g 0Concoction No.of Dryers Fleabag Appliances KW 'Security Systems:" ry No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of'novices or Equivalent No.H dromasaa a Bathtubs Na.of Motors Total HP Ie Nommoriaho or Equivalent y g No.of uaacDeviea ns Waring: OTHER: 24 total panels 30,000 Attach additional dead if dewed,,orequired by the baspecrer of Wirer. Estimated Vahte of Electrical Work: (When required by municipal policy.) Werk to Start: TBD 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 awl-age Is in force,and has exhibited proof of saint to the permit issuing office. CHECK ONE: INSURANCE V BOND 0 OTIIFR 0 (Specify:) I certify,under the pains an/penalties o perjury,that the Infatmallets on this application Is true and complete. FIRM NAME: 7-1 ,;k So ra t/ LIC.NO.: Licensee: / :o-✓\ /�tis.e r co,' Signature La.' difi�q7��-� LIC.NO.: c2 62 33 /t (ifpp/rcrtble,enter"exempt"in tae{*cense grew ling r/ Bus.Tel.No.: Address: 3.2 C 4-0,4 S7 fly'ttif2 Tali r"k- Cal 67 Alt.Tel.No.:Sire f 7? 3191 *Per M.C.I..o. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie,No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance cowmet normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/AgentPERMIT FEE:$ Signature _ Telephone No. RECEIVED OCT 16 20181 I BUILDING DEPARTMENT A ' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYY ) 11/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 'IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Arthur J. Gallagher Risk Management Services,Inc. PHONE 856-482-9900 FAX56-482-1888 4000 Midlantic Drive Suite 200 WC Nn p,„, WC NovNeP - Mount Laurel NJ 08054 E-MAIL - INSURER(S)AFFORDING COVERAGE NAIC R _ INSURER A:HDI-Global Insurance Company 41343 INSURED TRINHEA-03 INSURER B:Liberty Insurance Underwriters Inc 19917 _ Trinity Heating&Air, Inc. _INSURER C: _ 28 Patterson Rd INSURER D: Wareham, MA 02571 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1553770879 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IY EXP LTR TYPE OF INSURANCE INSQ WYD POLICY NUMBER (MMUD�DNYTY) IMM/DO Y1_ UNITS A X COMMERCIAL GENERALUABILnY EGGCR000065617 11/12017 11/12016 EACH OCCURRENCEMA $2000000D CLAIMS-MADE X OCCUR PREMISES Ea occurrence)TO $500,000 MED EXP(Any one person) EO PERSONAL 8,ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICYri jECo-T LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY EAGCR000065617 11/12017 11/1/2018COMBINED SINGLE LIMIT(Ea acciderrt) $2,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS — HIRED — NON-OWNED PROPERTY DAMAGES - AUTOS ONLY eCtg _ AUTOS ONLY (Per ent) $ B UMBRELLALIAB X OCCUR 1000231834-02 11/1/2017 11/12018 EACH OCCURRENCE $3,000,000 A X EXCESS LIAREXAGR000065617 11/1/2017 11/1/2018 CLAIMS-MADE AGGREGATE $3,000,000 DED RETENTIONS Limit x of$3,000,000 $21,000,000 A WORKERS COMPENSATION EWGCR000065617 11/1/2017 11/12018 X STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YI❑N NIA E.L.EACH ACCIDENT $1,000000 OFFICERAIEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yye;dexnbe Urger DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 51,000,000 A Automobile EAGCR000065717 11/1/2017 11/1/2018 All Other Units $1,00081,000 Comp/Collusion Ded. Truck-Tractors and Semi-Trailers 55,000/$5,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Named Insured includes Trinity Heating&Air, Inc and BPTP Future Holdings LLC Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Trinity Heating 8 Air, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Patterson Brook Road ACCORDANCE WITH THE POLICY PROVISIONS. Wareham MA 02571 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD INSTALLATION OF NEW VIRGINIA ST■ ROOF MOUNTED PV SOLAR SYSTEM , F. q, 7B VIRGINIA ST -5+1--- dip:,7'' ,y�i ' ''S" WEST YARMOUTH, MA 02673 ''Y r Itirk c . d #6i 'J II fix.. Pi Vy' y.. „'+� "til Y ,3 same l Revsor. VICINITY MAP SITE "Y warm. DYE , SCALE:NTS Piped Title: MIIT016ON,PALLAS Twee KGI•mIab.baits PEgea AOMes 7$VIRGINIA SI WEST YARMOUTH,MA 02673 41655236 ]0.]e1133 6rNFCA1 solL2 9LIE.PAL MEM GaMI.reD PFMML MTEUctM.TET KlAEYATINS a.T.tEO SHEET INDEX as mR rm. I.THE OSIALLAFION CCM woccc is E . PY.LSIS 14. •twat,.FOE IALSOLIINn+ rust I CM"C.w.Ml.a PV-1 COVER SHEET WI SITE INFO&NOTES eW/P AND Dc IMANDMOS,MO REO la PV-2 ROOF PLAN WI MODULE LOCATIONS PROPOSED PV SOW)SYSTEM .L$.GE ME IMO«. A eeol. 1e :ET°°�"`E.E.OYm Wig ""^"A PV-3 ELECTRICAL 3 LINE DIAGRAM -- - •i0aliaii0.41:7CEP.F0 nos warm a« »,P Tia .L L 2.l•istaroa.m.•CONINACION ,E.`TESIAMMMOOuLEESAEWAXED �'UTL•.nA`�s�A-ON Y(. 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