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Home My WebLink AboutBLDE-21-006352 �. (Il/ Commonwealth of Official Use Only ' Permit No. BLDE-21-006352 �'� Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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'5/4/2021 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 described below. Location(Street&Number) 5 TRENTON ST Owner or Tenant FOSTER ARLENE Telephone No. Owner's Address 5 TRENTON ST,WEST YARMOUTH, MA 02673 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of solar PV system(28 Panels 9.1 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 ❑ OTHER Cl (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lloyd R Smith Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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 � ---d� 4313(2'1 � Fl Lei Commonwealth o/MaJJachu..5ettJ Official Use Only ., * cc�� Permit No. �7 _ S 2)epartment o/.7 ire Services -a a, : Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C 527�I 00 I (PLEASE PRINT IN INK OR 7Y E ALL I��FORi1' ON) Date: • City or Town of: m �� Vl , To the Inspector of Wires: By this application the undersigned ives notice of his or her intention to perform the electrical work described below. Location(Street&Number) S Tv (\fin �, --t-=- Owner or Tenant / '-e— 'OSt—(e"' Telephone No. 1 IY.Sq5{ IOS Owner's Address a,L.J4) Is this permit in conjunctio with a building permit? Yes , No ❑ (Check Appropriate Box) Purpose of Building /1 Utility Authorization No. Existing Service 10C)Amps lar3 4.40 Vo s Overhead ( Undgrd L_ No.of Meters I New Service Amps / Volts Overhead E Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: — 1 Completion of the following table may be waived by the Inspector of Wires. N rann KVA Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T f Trsformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. tpattery units 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 Ranges No.of Air Cond. Total No.of AlertingDevices 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 ❑ Other Connection — No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of)bevices or Equivalent KW Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: r - Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectr' al Work: l Lot Lo (When required by municipal policy.) Work to Start: S 3 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under th pains and penalties of per' ty,that the information on this ap cation is true and complete. FIRM NAME: � ,t� �� Lo �L. LIC.NO.: Licensee: .,iLth Sm Signature b LIC.NO.: ET-fr (lf applicable.enter "exempt"in the license numb,. line.) Bus.Tel. No.: Address: ,OC t4\,ii S jld isr i or t.\ o-/x,1 Alt.Tel. No.:3 ,5 '—i j'1 *Per M.G.L. c.•147, s. 57-61,security work rz.quires Department of Public Safety"S"License: Lic. No. OWNER'S INSURANCE WAIVER: I arr aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I h rehy waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature _Telephone No. PERMIT FEE:$