HomeMy WebLinkAboutBlde-20-001776 5 Commonwealth of Official Use Only
A Massachusetts Permit No. BLDE-20-001776
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:10/1/2019
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) 224 LONG POND DR
Owner or Tenant MOSSEY JERRY W Telephone No.
Owner's Address MOSSEY PHOEBE K,224 LONG POND DR, SOUTH YARMOUTH, MA 02664-4167
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 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of solar PV system. (28 Panels 8.82 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
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/Alertine 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 perjury,that the information on this application is true and complete.
FIRM NAME: James A Knox
Licensee: James A Knox Signature LIC.NO.: 9629
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:236 WEST 26TH ST,RM 603,NEW YORK NY 100016789 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
044,0) (0/(0 ,4-Quit_ l t fs((g(v
C/� // ��/)//j // Official Use Only
onunonweah o�!l/a�achu�eL'fa �
'rk- c� ec77 Permit No.
1= - Apartment o�,.tire Services
rr� Occupancy and Fee Checked
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: q/97/19
City or Town of: South 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) 224 Long Pond Dr.
Owner or Tenant Jerry Mossey Telephone No. (508)398-2532
Owner's Address 224 Long Pond Dr.
Is this permit in conjunction with a building permit? Yes IV No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 200 Amps 120/240 Volts Overhead n Undgrd C. No.of Mete* 1
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 8.82 kw solar panels on roof.Will not exceed roof panel but
will add 6"to roof height.28 total panels.
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T'Tr r f ano KVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting
g grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. initiatinnggon Dete and
In Devices
Totallo.of Ranges No.of Air Cond. T ns No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Conne Municipal
❑ Other
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
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H
y g No.of Devices or Equivalent
OTHER: Install 28 solar panels on roof
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 34,000 (When required by municipal policy.)
Work 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER El (Specify:)
I certify,under the pains and penalties of perjury,that the informa 'on on this application is true and complete.
FIRM NAME: Knox Electric LIC.NO.: A9629
'-- LIC.NO.: E28653
Licensee: Frank A Knox Signature
(If applicable,enter "exempt"in the license number line.) us.Tel.No.: 508-995-6469
Address: PO Box 50117-New Bedford,MA Alt.Tel.No.: 508-400-4684
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑ owner ❑owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
;r INSTALLATION OF NEW LONG POND DRIVES
A ROOF MOUNTED PV SOLAR SYSTEM . ,
224 LONG POND DRIVE
,
SOUTH YARMOUTH, MA 02664
Issued I Revisions
CIVICINITY MAP SITE NO U1x'P DI! DA1L
SCALE NTS Project Title:
MOSSEY,JERRY-
TRIrrirT(ACCT X:209(18 foi':SS
Project Address.
224 LONG POND DRIVE
SOUTH YARMOUTH,MA 02664
41-6bbti1U,/0.20S145
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