HomeMy WebLinkAboutBLDE-19-003510 a
t 11� Commonwealth of Official use only
t Massachusetts Permit No. BLDE-19-003510
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.I/071
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:12/10/2016
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives nonce of his or her intention to pertomi the electrical work described below.
Location(Street&Number) 37 WALTHAM CIR
Owner or Tenant POPA CRISTIAN Telephone No.
Owner's Address 37 WALTHAM CIR,WEST YARMOUTH,MA 02673
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Installation of solar PV system(16 Panels 5.04 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 Ab ❑ In- 13 No.of Emergency Lighting
grnove d. 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 ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Watery 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 I
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 ❑ BOND 0 OTHER 0 (Specify:
/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
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`I][y(,,aW Occupancy and Pee Checked
BOARD OF FIRE PREVENTION REGULATIONS jltev.vo71 newt hlnnk)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to he pertbnned in accordance with the Nfussachusctts Electrical Code!MEC),527 CMR 12.011
(PLEASE PRAT IW NK OR TYPE ALL INFORMiT/O.M Date: 12/7/18
City or Town of: West Yarmouth To the inspector t, ))'laic:
By this applicaion:hi:undersigned gives notice of his or her intention to perform the clechical work described below.
Lnextinn(Street&Number) 37 Waltham Cir
Owner or Tenant Christian Popa Telephone No. 508-685-7528
' Owner's Address 37 Waltham Cir �/
fa this permit in conjunction with a building permit? Yes �p No ❑ (Check Appropriate Pb,.)
I Purpose of Building • Utility Authorization No.
Existing service 100 Amps 120/240 Volts Overhead 0 Undgrd❑ , No.of Meters 1
New Service _ Amps 120/ 240 Volts Overhead❑ Uadgrd❑ No.of Meters ___
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install b.u4 kw solar panels on roof.Will not exceed roof panel,but will
add 6"to roof height.16 total panels.
Completion ofthe futtrnrfng whir be waived by/le Inspector of'Vire%
No.of Recessed Luminaires No.of CeiL-Sus (Paddle)Fans Na of total VA
P• ,Transformers t(VA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
-
No.of Luminaires Swimmie Pool Above ❑ la- ❑ No.of Emergency lighting
g grad. grad. Battery Unita
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
and
Nn.of Switches No.of Gas Bunsen Nla Inflor ating
n
IaMhting Devices
No.of Ranges No.of Mr Cond. Tonsl No.of Alerting Devices
Nn.of Waste Disposers Mat Pump I Number. Tons _ KW _ No.of nett-Contained
F Totals: DetMion/Alenia Devices
Municipal
Nu.of Dishwashers Space/Area Pleating KW k,[axal 0 Conneclioe ❑ Other
No.of Den Heating Appliances KW Security? stems:'' -
7 Na of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Moton Total HP tefecommao.cations Winn:Nn.of Devices or Egnivxlent
OTHER: 16 total panels
20,000 Attach additional dont tildesired,or as required by the Insr,ector of Wirer
Estimated Value of Electrical Work: (When required by municipal policy.)
Wok 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 nifty issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such anrage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONEr INSURANCE$ HUND 0 OTHER 0 (Specify!)
I rereify,under the pains anf(penatler o perjury,that the information on this appllcadon is true and complete.
FIRM NAME: 7r;ns
✓ / LIC.NO.:
,(( J 4 •
Licensee; /N'�a.,, re..t �(rcoN Signature /�.-. AG).--4, IX.NO.: 026233
(!fappirtrffe,enter”exempt"in the cense sq rnher tine? v Bus.Tel.No.:
Address: 3Q G revC 5 f'lyry ton es 0210 Alt.Tel.No.:coal f7? 310 I
'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: 1 am aware that the Li:onsee does not have the liability insurance covereat 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/Agent PERMIT FEF.'3
Signature —. Telephone Nu.
I
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7
INSTALLATION OF NEW WALTHAM CIRCLE■
ROOF MOUNTED PV SOLAR SYSTEM E3� `;� " ''
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WEST YARMOUTH, MA 02673 '�' `gs"" ' '
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