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HomeMy WebLinkAboutBlde-19-003037 v:(4 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003037 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'11/16/2018 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) 56 WINDJAMMER LN Owner or Tenant RILEY DONNA L Telepho A j Owner's Address P 0 BOX 251, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ . 'Purpose of Building Utility Authorization • A Existing Service Amps Volts Overhead 0 Undgrd 0 •r New Service Amps Volts Overhead 0 Undgrd ID No et�}s /? Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(12 Panels) O 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 ❑ 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 perfuly,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 { 'I / gla> m �30 Contnnwaa h n asti -Liatia y it c `, Permit No. K t t z Occupancy and fie Checked ;.,a. BOARD OF FIRE PREVENTION REGULATIONS iuev. t/VI (k,,,eblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accord:utce with the Messacht ictts Electrical Code iv1LC1. 5?7 t'MR t7 Oil (PLEASE PRINT!1JTIKOR i'Y1'h,' 4T L[N'FORILI PION- Date: 11/12/18 Cit.', or Town of: S.Yarmouth t o the inspector et 1T'iras. By this epplication he undersigned gives notice of'his or her intention to perform the cfuehieai work described below (mention(Street&Number) 56 Windjammer Ln. Owner or Tenant Donna Riley Telephone No. 508-394-8925 Owner's Address 56 Windjammer Ln. is this permit in conjunction with a building permit? Yes fit No ❑ (Check Appropriate Box} Purpose of Building Utility Authorization No. Existing Service 200 Amps 120/240 Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 3.78 kw solar panels on roof.Will not exceed roof panel,but will add 6"to roof height.12 total panels. t'amp/enun of thefulfuwingtable ow be waived by the Inspector of Wire.). No.of No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Funs Transs T Trformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpool Above ❑ In- ❑ No,of Emergency Lighting and. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of'lollies 'No.of Detection and No.of Switches No.of Gas Burners Initiating Devi= No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Nu.of Dishwashers S ace:'Area Heating KW Local 1---1 Municip l ❑ Other PConnection HeatingAppliances Security systems:' No.of Dryers PP KW No.of Devices or Equivalent No.of Water 'No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E�uu,ivalent No.Uydromaisage Bathtubs No.of Motors Total HP Telecommunications Nof or qni�' No_of Devices Equivalent OTHER: 12 total panels Attuch additional demi!if desired.n r as required by the Inspector of Wires. Estimated Value of Electrical Work: 16,000 (When required by municipal policy.) Woik to Start. TBD Inspections to be requested in accordance with MR'Rule i0,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provide proof of liability insurance including'completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ O'T'I-IFR ❑ (Specify:) I certify,under the pains an penaltfec o perjury,that the informatian an this application is true and complete FIRM NAME: "` { ✓ I.IC.NO.: Licensee: / r^ �yc k. r 6c? Signature f . .0 LW.NO.: d 1c22 33 , IIJ i,r r' 'ih/e rote: "exempt"in the 'cease Neither lute II Bus.Tel.No.: _Address: ,Q r©eC 3--_ t1l/*t `jv1 tie'- O 3 Alt.Tel.Ain.:Sd' S-71 33Y I *Per hf. .I..o. 147,s. 7-61,security werk requires Department of Public Safety"S''License: Lie.No. OWNER'S INSURANCE WAIVER: I ant aware that the Licensee drams 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 PERMIT FEE:$ Signature Telephone No.