HomeMy WebLinkAboutBLDE-20-001303 124
�'; 'Commonwealth of 1 I Official Use Only
tlitl Massachusetts Permit No. BLDE-20-001303
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:9/9/2019
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work describgd belp.
Location(Street&Number) 67 CRANBERRY LN t it4 IV4 7 6
Owner or Tenant Telephone No.
Owner's Address ..I IAkt LORI74, .-'')m i i i +e-^---g
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(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- ❑ 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
Initiatine 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/Alertinu 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 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: 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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}, `.' Occupancy and Pee Checked
�•w. y BOARD OF FIRE PREVENTION REGULATIONS (Rev_1'071 (leave htankt
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
vi,rork to he per.brined in acu:rdtutce with tt:e Missactucctta Ple..trica!Code iMEC).57'C ktK 17 lto
rPLEASE PRIAT ry IVA'OR :YPE.4I f IA'F E?tLd P0'v} Date: 9/6/19
Cit or Town of: Yarmouth I()the Inspector r,.f IT tras.
By this applicatior:he undersigned gk e�notice of his or her intention to perform the electrical work described below
Location(Street&Number) 67 Cranberry t n
Owner or Tenant Thomas Myers Telephone No. 508-294-8346
Owner's Address 67 Cranberry Ln.
Is this permit in conjunction with a building permit? Yes 'i No ❑ (Cheek Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 100 Amps 1201240 A'efts Overhead❑ Undgrd❑ No.of Meters 1
New Service Amps 1201 240 Vohs Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 7.56 kw solar oanels on roof. Minot exceed
roof panel, but will add 6"to roof height. 24 total panels.
t'omplenon of the jollonitNtable invi be wooed 0 the Ingtector of lEirea.
l
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Funs T TVA
Tr ansTransformersICVA
ota
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool trod. ❑ trod. ❑ 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
[aitisliug Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number •lions KW 'No.of Self-Contained
P Totals: Detection/Alerti Devices
N .of Dishwashers Space:'Area Heating KW Loral❑ Municipalu a ❑ Other
No.of Dryers Heating Appliances KW �eenrity Systems:*
ry No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.0 dromassage Bathtubs N .of Motors Total HP l eiecom Devices do ors wiring:
y _ N _of Itevices Equivalent
o rHFat: 24 total panels.
,Itetch odditiauo!derail r/desired.or'Is required by the Inspector of Wirer
Estimated Value of Electrical Work: 27,000 (When required by municipal policy.)
Woik to Start. TBD Inspections ro he requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner.no permit for the per!,nuance of electrical work may issue unless
the licersee provide,proof.it'liability insurance incioding-rim/pitted irperatirnr"coverage or its substantial equivalent_ The
undersigned certifies that,t.ch Gov age is in force,and has exhibited proofofsame to the permit Issuing office.
('HhCK ONE I.SURANt_i/ of IND ❑ (V"-U-R ❑ (Specie}-'i
I certify,under the painsan penalties of perjury.that thr information on this application is true and complete.
FIRM NAME: 1,:-,*per - Lo/G,,✓' LAC:_NO.:
Licensee: fir ,,.,n. "'re-., �f. ' cc, Signature f1 �.. f t l) ,_.t_ LIC.NO.: )1�2 3 j 4
'/ r,'to1, n v "axrrnpt'in the iranse't�ether limyy Bus,Tel.No.:
Address: 3 Q o f vC S _ _t"1 'finis tc,-1 CVIu- G i 'f Alt. fel.No.:¶o f 7? 319 t
'Per NI,T.I,.c 147;s. 5'-61,security.work requires Department of Public Safety"S"License. Lie.No,
OWNER'S INSURANCE WAIVER: lam aware that the Li:ensee:toes not have the liability insurance eovcraoe normally
required by law. Be my signature below.I;Hereby waive this anti.irernert_ I am rite(check one)❑owner ❑owner's agent.
Owner!,\gent
PERMIT FEE:$
Signature Telephone No. I
..-70.
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YARMOUTH,MA 02664
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