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HomeMy WebLinkAboute-19-7226 ,to, . 0 Commonwealth of Official Use Only fi' Massachusetts Permit No. BLDE-19-007226 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 IN INK OR TYPE ALL INFORMATION) Date:6/24/2019 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) 2 ACORN HILL DR Owner or Tenant SCOTT DUDLEY N Telephone No. Owner's Address SCOTT BETH J,2 ACORN HILL DR,YARMOUTH PORT, MA 02675-1401 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: Installation of solar PV system. 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/Alertinc 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 Siens 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: Clifford E George Licensee: Clifford E George Signature LIC.NO.: 16864 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 NORTH AVE,SUITE A,BURLINGTON MA 018033321 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 --c CENsta C 6249v-ARAtz 9/2-3lr 4 I Cla- 0(zv/ 9 Commonwealth of//laidachusalf3 /Official Use /Only �� . , ./ c� Permit No. eact" " ( ��-'�, >g+ �_ Apartment of�ira swica6 `C • 1 H` J: Occupancy and Fee Checked ! ®rj/ 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: 6/21/2019 City or Town of: Yarmouthport 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) 2 Acorn Hill Drive Yarmouthport MA 02675 Owner or Tenant Dudley&Elizabeth SCOTT Telephone No. (508)362-6935 Owner's Address Same. Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No.2336315 Existing Service Amps Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps Volts Overhead❑ Undgrd 0 No.of Meters 2 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Solar array and connect to existing utility. Completion of the followingtable may be waived by the Inspector of Wires. No.of Total • -'n No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA `^`° No of Luminaire Outlets No.of Hot Tubs Generators KVA ove O U ? No Ab of Luminaires Swimming Pool grad. ❑ In-grad ❑ No.of Emergency Lighting Battery Units N:3 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 Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number_Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Qty.Solar Panels: 28 Total kW: 9.24 Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work:$21753 (When required by municipal policy.) Work to Start: 7/8/2019 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 this application is true and complete. FIRM NAME: Northeast Solar Services Inc. dba North EastElec cal Inc. LIC.NO.: Licensee: Clifford George Signature ‘/�� LIC.NO.: 16864A (If applicable,enter"exempt"in the license number line.) 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